Provider Demographics
NPI:1629493739
Name:KUROPAS, DORIAN ROMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:DORIAN
Middle Name:ROMAN
Last Name:KUROPAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 E WT HARRIS BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-4298
Mailing Address - Country:US
Mailing Address - Phone:704-885-5669
Mailing Address - Fax:704-536-2420
Practice Address - Street 1:7008 E WT HARRIS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-4298
Practice Address - Country:US
Practice Address - Phone:704-885-5669
Practice Address - Fax:704-536-2420
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC231461835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist