Copperopolis Pharmacy
NPI #1164529459 in Copperopolis, California
Provider Information
- NPI Number
- 1164529459
- Entity Type
- Organization
- Organization Name
- Copperopolis Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Sep 6, 2013
Practice Location
- Address
- 49 COSMIC CT
- Address 2
- SUITE C
- City
- Copperopolis
- State
- California
- ZIP Code
- 95228-9300
- Phone
- (209) 785-8787
Authorized Official
- Name
- KEVIN TOM, PHARMD
- Title
- OWNER
- Phone
- (916) 394-1732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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