Provider Demographics
NPI:1932198751
Name:HATINGER, POPPY LYNN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:POPPY
Middle Name:LYNN
Last Name:HATINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 STATE HIGHWAY M35
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9554
Mailing Address - Country:US
Mailing Address - Phone:906-475-7475
Mailing Address - Fax:906-475-4424
Practice Address - Street 1:380 US HIGHWAY 41 E
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-9625
Practice Address - Country:US
Practice Address - Phone:906-475-4424
Practice Address - Fax:906-475-4424
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist