Provider Demographics
NPI:1497983027
Name:COPELAND, MARK PRITCHARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:PRITCHARD
Last Name:COPELAND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 ROANOKE AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-5565
Mailing Address - Country:US
Mailing Address - Phone:252-384-1000
Mailing Address - Fax:252-338-8140
Practice Address - Street 1:902 ROANOKE AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-5565
Practice Address - Country:US
Practice Address - Phone:252-384-1000
Practice Address - Fax:252-338-8140
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist