Provider Demographics
NPI:1932263704
Name:BAYTOP, SOPHRONIA (RPH)
Entity Type:Individual
Prefix:
First Name:SOPHRONIA
Middle Name:
Last Name:BAYTOP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SOPHRONIA
Other - Middle Name:
Other - Last Name:BAYTOP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5908 MERIWETHER CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7374
Mailing Address - Country:US
Mailing Address - Phone:757-314-7900
Mailing Address - Fax:
Practice Address - Street 1:576 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604
Practice Address - Country:US
Practice Address - Phone:757-314-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist