Rebecca Barr Copeland, PHARMD

Individual provider Active NPI Pharmacist · Blackville, SC

NPI 1659625846 · NPPES record last updated Nov 9, 2012

Key facts

NPI
1659625846
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
010236 (SC)
Practice address
19354 Solomon Blatt Ave N
Blackville, SC 29817-2304
Phone
(803) 284-3372
Fax
(803) 284-3372
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
010236SCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 010236 SC Yes

Addresses

Primary practice location

19354 Solomon Blatt Ave N
Blackville, SC 29817-2304

Mailing address

19354 Solomon Blatt Ave N
Blackville, SC 29817-2304
Phone (803) 284-3372

Other providers in Blackville, SC

All providers in Blackville, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.