Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
Other names
Apothecary Houghton
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
600 MACINNES DR, HOUGHTON, MI 49931-1144
(906) 483-1818
(906) 483-1811
Mailing address
600 MACINNES DR, HOUGHTON, MI 49931-1144
(906) 483-1818
(906) 483-1811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114972270
—
MI
01
—
2143559
PK
—
Enumeration date
05/24/2006
Last updated
04/30/2024
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