Provider Demographics
NPI:1619027208
Name:POPLAWSKI, MANDI ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MANDI
Middle Name:ELIZABETH
Last Name:POPLAWSKI
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 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:DEPARTMENT OF PHARMACY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-0660
Mailing Address - Fax:410-601-1124
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-0660
Practice Address - Fax:410-601-1124
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD172231835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy