Kevin S Tom
Kevin S Tom is a Pharmacy in Copperopolis, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
49 Cosmic Ct Ste CCopperopolis, CA 95228-9300
Phone: (209) 785-8787
Fax: (209) 785-8783
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY51616 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1093140238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Tom — Owner/ Rph · (209) 785-8787 |
| Other names | Copperopolis Pharmacy |
| NPI enumerated | September 6, 2013 |
| Last updated in NPPES | October 16, 2015 |
| Mailing address | Po Box 699, Copperopolis, CA 95228-0699 |