Provider Demographics
NPI:1508273442
Name:POPPEN, RACHEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:POPPEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W ELM AVE
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:IA
Mailing Address - Zip Code:50574-1439
Mailing Address - Country:US
Mailing Address - Phone:712-335-3119
Mailing Address - Fax:712-335-4145
Practice Address - Street 1:701 W ELM AVE
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:IA
Practice Address - Zip Code:50574-1439
Practice Address - Country:US
Practice Address - Phone:712-335-3119
Practice Address - Fax:712-335-4145
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist