Provider Demographics
NPI:1316948433
Name:COPELAND, D. BRANT (RPH)
Entity type:Individual
Prefix:MR
First Name:D.
Middle Name:BRANT
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 1:4950 WILSON LN
Mailing Address - Street 2:DEPT OF PHARMACY
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4442
Mailing Address - Country:US
Mailing Address - Phone:717-790-8522
Mailing Address - Fax:717-790-8501
Practice Address - Street 1:4950 WILSON LN
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4442
Practice Address - Country:US
Practice Address - Phone:717-790-8522
Practice Address - Fax:717-790-8501
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044241L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist