Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
Other names
Apothecary Hancock
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1919
(906) 483-1911
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1919
(906) 483-1911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306883319
—
MI
01
—
2143630
PK
—
Enumeration date
05/31/2006
Last updated
04/30/2024
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