Provider Demographics
NPI:1326342650
Name:POPE, MICHAEL ALAN (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:POPE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:ALAN
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:575 INEZ DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5808
Mailing Address - Country:US
Mailing Address - Phone:615-355-0282
Mailing Address - Fax:
Practice Address - Street 1:233 S LOWRY ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3007
Practice Address - Country:US
Practice Address - Phone:615-459-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC00859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist