Michael Bopp
Pharmacist in Maplewood, MO. Individual provider (NPI-1).
NPI number1366043853
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1366043853
- Entity type
- Individual (NPI-1)
- Name
- Michael Bopp
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2009023425 | MO | Yes |
Practice location
1900 Maplewood Commons DrPharmacy
Maplewood, MO 63143
Phone 314-781-2935
Mailing address
1900 Maplewood Commons DrPharmacy
Maplewood, MO 63143
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