Provider Demographics
NPI:1922781376
Name:LOPP, RILEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:LOPP
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 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-6206
Mailing Address - Country:US
Mailing Address - Phone:620-227-8193
Mailing Address - Fax:620-227-8006
Practice Address - Street 1:2401 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-6206
Practice Address - Country:US
Practice Address - Phone:620-227-8193
Practice Address - Fax:620-227-8006
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-109633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist