MEDICARE: ALEXANDER COPELAND PHARMD

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
1	183500000X	Pharmacist	2024031570	MO

General Provider Information

NPI Number	:	1518819572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER COPELAND PHARMD

Provider Business Mailing Address
First Line	:	100 MEDICAL PLZ
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-1366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDICAL PLZ
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-1366
Country	:	US
Telephone Number	:	636-625-5308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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