Organization
COPHARMA INC
Active
Other names
COPHARMA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KING (OWNER)
(662) 594-1594
Entity
Organization
Contact information
Practice address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 594-1594
(662) 594-1864
Mailing address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 594-1594
(662) 594-1864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
12480
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141122
PK
—
Enumeration date
07/10/2013
Last updated
07/25/2013
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