Provider Demographics
NPI:1841623964
Name:LOPER, STEFFANY M (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:STEFFANY
Middle Name:M
Last Name:LOPER
Suffix:
Gender:F
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 1:130 UNIVERSITY DR
Mailing Address - Street 2:WALGREENS
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-1104
Mailing Address - Country:US
Mailing Address - Phone:740-386-2381
Mailing Address - Fax:740-386-2394
Practice Address - Street 1:130 UNIVERSITY DR
Practice Address - Street 2:WALGREENS
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-1104
Practice Address - Country:US
Practice Address - Phone:740-386-2381
Practice Address - Fax:740-386-2394
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-25353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist