Provider Demographics
NPI:1336550805
Name:LOPORTO, JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:LOPORTO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 S 2100 E
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1599
Mailing Address - Country:US
Mailing Address - Phone:435-229-9444
Mailing Address - Fax:435-688-8171
Practice Address - Street 1:228 S 2100 E
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-1599
Practice Address - Country:US
Practice Address - Phone:435-229-9444
Practice Address - Fax:435-688-8171
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-18
Last Update Date:2014-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT260699-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist