Provider Demographics
NPI:1679843221
Name:COPELAND, STEVEN J (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:COPELAND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1002
Mailing Address - Country:US
Mailing Address - Phone:941-921-4681
Mailing Address - Fax:941-925-8576
Practice Address - Street 1:3601 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1002
Practice Address - Country:US
Practice Address - Phone:941-921-4681
Practice Address - Fax:941-925-8576
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist