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NPI Code Detail

MEDICARE: DR. MARK PRITCHARD COPELAND PHARM.D

MEDICARE: DR. MARK PRITCHARD COPELAND PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19060NC

General Provider Information

NPI Number : 1497983027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK PRITCHARD COPELAND PHARM.D
Provider Business Mailing Address
First Line : 902 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5565
Country : US
Telephone Number : 252-384-1000
Fax Number : 252-338-8140
Provider Business Practice Location Address
First Line : 902 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5565
Country : US
Telephone Number : 252-384-1000
Fax Number : 252-338-8140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2009
Last Update Date : 06/22/2009

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