Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
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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