Provider Demographics
NPI:1780057752
Name:LAPPIN, JOHN ANDREW (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:LAPPIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-2734
Mailing Address - Country:US
Mailing Address - Phone:816-699-2113
Mailing Address - Fax:
Practice Address - Street 1:416 E MITCHELL ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-2734
Practice Address - Country:US
Practice Address - Phone:816-699-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist