Provider Demographics
NPI:1417232943
Name:KOPINSKY, DEBORAH (RPH)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:KOPINSKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-2741
Mailing Address - Country:US
Mailing Address - Phone:248-685-7219
Mailing Address - Fax:248-685-7438
Practice Address - Street 1:140 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-2741
Practice Address - Country:US
Practice Address - Phone:248-685-7219
Practice Address - Fax:248-685-7438
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist