Provider Demographics
NPI:1205049897
Name:ZOPPA, LEONARDO (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:LEONARDO
Middle Name:
Last Name:ZOPPA
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 BIRCHWOOD TER
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-2303
Mailing Address - Country:US
Mailing Address - Phone:973-553-5379
Mailing Address - Fax:973-553-0454
Practice Address - Street 1:225 WILLIAMSON ST
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3625
Practice Address - Country:US
Practice Address - Phone:908-994-5809
Practice Address - Fax:908-994-5007
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02844900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist