Copper Creek Pharmacy

LBN: Senior Care Pharmacy Llc
Copper Creek Pharmacy is an health care organization with primary practice located at 1207 Crews Rd Ste D , Matthews NC 28105-7582. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Senior Care Pharmacy Llc can be contacted via phone (704) 246-6510, or through Howard, Paul via phone (704) 246-6510.

Contact Information

Primary practice address
1207 Crews Rd Ste D Matthews NC 28105-7582
Phone: (704) 246-6510
Fax: (704) 246-7775
Website:
Map and Directions
Authorized official contact:
Name: Howard, Paul
Phone: (704) 246-6510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 10235 North Carolina

Profile Details

NPI number 1790923555
LBN Legal business name Senior Care Pharmacy Llc
DBA Doing business as Copper Creek Pharmacy
Authorized official Howard, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2009
Last updated Oct 19th, 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 1790923555 NPPES
Other 2119183 PK
MEDICAID 0602342 PK

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