Provider Demographics
NPI:1992836274
Name:POPKIN, ERIKA M (RPH)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:M
Last Name:POPKIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:V
Other - Last Name:MEITZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:90517 BIRDIE DR
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:OR
Mailing Address - Zip Code:97146-7109
Mailing Address - Country:US
Mailing Address - Phone:503-440-9329
Mailing Address - Fax:
Practice Address - Street 1:201 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-4841
Practice Address - Country:US
Practice Address - Phone:325-655-6961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37700183500000X
ORRPH-0009351183500000X
WAPH00040585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist