Provider Demographics
NPI:1841580297
Name:COPSES, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:COPSES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14818 BALLANTYNE GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3759
Mailing Address - Country:US
Mailing Address - Phone:704-542-3555
Mailing Address - Fax:704-542-3555
Practice Address - Street 1:14818 BALLANTYNE GLEN WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3759
Practice Address - Country:US
Practice Address - Phone:704-542-3555
Practice Address - Fax:704-542-3555
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist