Organization
COPELAND PHARMACEUTICAL SERVICES LLC
Active
Other names
City Pharmacy of Russellville
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT COPELAND (OWNER)
(256) 616-3311
Entity
Organization
Contact information
Practice address
14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
(256) 331-1919
(256) 331-1960
Mailing address
104 OLD CAPE DR, TUSCUMBIA, AL 35674-5216
(256) 616-3311
(256) 389-2992
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114022
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144805
—
AL
01
—
2138439
PK
—
Enumeration date
12/26/2012
Last updated
05/03/2013
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