Provider Demographics
NPI:1639876196
Name:TURC-ZOPFI, LISA ANN (R PH)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:TURC-ZOPFI
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 AUSPICE CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-2979
Mailing Address - Country:US
Mailing Address - Phone:443-876-4695
Mailing Address - Fax:
Practice Address - Street 1:4 AUSPICE CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-2979
Practice Address - Country:US
Practice Address - Phone:443-876-4695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist