Provider Demographics
NPI:1962685412
Name:HOPPE, IOULIA A (PHARMD)
Entity Type:Individual
Prefix:
First Name:IOULIA
Middle Name:A
Last Name:HOPPE
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 1:567 CALEB ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-1112
Mailing Address - Country:US
Mailing Address - Phone:818-500-1690
Mailing Address - Fax:818-500-1690
Practice Address - Street 1:567 CALEB ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-1112
Practice Address - Country:US
Practice Address - Phone:818-500-1690
Practice Address - Fax:818-500-1690
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist