Provider Demographics
NPI:1982699401
Name:DOPAO, JENNIFER LYNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:DOPAO
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 1:2206 ACUSHNET AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2803
Mailing Address - Country:US
Mailing Address - Phone:508-998-1121
Mailing Address - Fax:508-998-1122
Practice Address - Street 1:2206 ACUSHNET AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2803
Practice Address - Country:US
Practice Address - Phone:508-998-1121
Practice Address - Fax:508-998-1122
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist