Lisa Coppola
Pharmacist in Brentwood, NY. Individual provider (NPI-1).
NPI number1639861925
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1639861925
- Entity type
- Individual (NPI-1)
- Name
- Lisa Coppola
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 042151 | NY | Yes |
Practice location
998 Crooked Hill RdBrentwood, NY 11717-1019
Phone 631-761-2291
Mailing address
998 Crooked Hill RdBrentwood, NY 11717-1019
Phone 631-761-2291
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All 21 Pharmacist providers in Brentwood · All 1,017 providers in Brentwood
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