Organization
COPPEROPOLIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TOM PHARMD (OWNER)
(916) 394-1732
Entity
Organization
Contact information
Practice address
49 COSMIC CT, SUITE C, COPPEROPOLIS, CA 95228-9300
(209) 785-8787
Mailing address
49 COSMIC CT, SUITE C, COPPEROPOLIS, CA 95228-9300
(209) 785-8787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/06/2013
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