Provider Demographics
NPI:1114226263
Name:LOPASHANSKI, NICHOLAS (RPH, PHARM D)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:LOPASHANSKI
Suffix:
Gender:M
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9418 PARK BLUFF TER
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-8957
Mailing Address - Country:US
Mailing Address - Phone:804-318-0500
Mailing Address - Fax:
Practice Address - Street 1:115 BRUNSWICK SQUARE CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-3815
Practice Address - Country:US
Practice Address - Phone:434-848-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist