Provider Demographics
NPI:1710255609
Name:POPLOSKI, SHELBY MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:MARIE
Last Name:POPLOSKI
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 1:544 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-3290
Mailing Address - Country:US
Mailing Address - Phone:330-467-3488
Mailing Address - Fax:
Practice Address - Street 1:663 E AURORA RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-2729
Practice Address - Country:US
Practice Address - Phone:330-468-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist