Organization
PH COPPER COUNTRY APOTHECARIES LLC
Active
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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