Provider Demographics
NPI:1952063711
Name:BOPP, MICHELLE (PHARMD, RPH, RI)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:BOPP
Suffix:
Gender:F
Credentials:PHARMD, RPH, RI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PENNY LANE DR
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4304
Mailing Address - Country:US
Mailing Address - Phone:724-744-1903
Mailing Address - Fax:724-744-1908
Practice Address - Street 1:2000 PENNY LANE DR
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4304
Practice Address - Country:US
Practice Address - Phone:724-744-1903
Practice Address - Fax:724-744-1908
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443825183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist