Provider Demographics
NPI:1811102213
Name:DOPP, ANNA LEGREID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LEGREID
Last Name:DOPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:LEGREID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1614 POND VIEW CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3789
Mailing Address - Country:US
Mailing Address - Phone:608-334-8825
Mailing Address - Fax:
Practice Address - Street 1:777 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2222
Practice Address - Country:US
Practice Address - Phone:608-890-0670
Practice Address - Fax:608-262-2431
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN117464183500000X
WI14669-0401835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy