Provider Demographics
NPI:1609214907
Name:COPLEY, SETH BASCOM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:BASCOM
Last Name:COPLEY
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 1:2103 21ST ST SE
Mailing Address - Street 2:APT 11
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-3585
Mailing Address - Country:US
Mailing Address - Phone:276-337-9124
Mailing Address - Fax:
Practice Address - Street 1:2427 SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3069
Practice Address - Country:US
Practice Address - Phone:828-256-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist