Copper Bend Pharmacy Inc

LBN: Copper Bend Pharmacy, Inc
Copper Bend Pharmacy Inc is an health care organization with primary practice located at 2900 Frank Scott Pkwy W Ste 920-B, Belleville IL 62223-5000. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Copper Bend Pharmacy, Inc can be contacted via phone (618) 234-7181, or through Clement, Stephen via phone (618) 234-7181.

Contact Information

Primary practice address
2900 Frank Scott Pkwy W Ste 920-B Belleville IL 62223-5000
Phone: (618) 234-7181
Fax: (618) 234-9811
Website:
Map and Directions
Authorized official contact:
Name: Clement, Stephen R.PH
Phone: (618) 234-7181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054008430 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902918840
LBN Legal business name Copper Bend Pharmacy, Inc
DBA Doing business as Copper Bend Pharmacy Inc
Authorized official Clement, Stephen R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902918840 NPPES
Other 2018496 PK

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