Provider Demographics
NPI:1821382003
Name:KOPPEL, ASHLEY KIRBY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KIRBY
Last Name:KOPPEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 S LOOP 288
Mailing Address - Street 2:T-2145
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4801
Mailing Address - Country:US
Mailing Address - Phone:940-220-2122
Mailing Address - Fax:940-220-2122
Practice Address - Street 1:1801 S LOOP 288
Practice Address - Street 2:T-2145
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4801
Practice Address - Country:US
Practice Address - Phone:940-220-2122
Practice Address - Fax:940-220-2122
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist