Provider Demographics
NPI:1013562859
Name:POPP, WILLIAM DONALD (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DONALD
Last Name:POPP
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 1:168 KINGSBURY CT
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-1121
Mailing Address - Country:US
Mailing Address - Phone:610-417-4473
Mailing Address - Fax:
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1716
Practice Address - Country:US
Practice Address - Phone:610-838-7371
Practice Address - Fax:610-838-0141
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038676R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist