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NPI Code Detail

MEDICARE: MRS. ALETHA POPLIN ELLER PHARMD

MEDICARE: MRS. ALETHA POPLIN ELLER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14087NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11336472059OTHERNCPERSONAL NPI

General Provider Information

NPI Number : 1336472059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALETHA POPLIN ELLER PHARMD
Provider Business Mailing Address
First Line : 423 E 2ND ST
Second Line :
City : WEST JEFFERSON
State : NC
Zip : 28694-9757
Country : US
Telephone Number : 336-246-9990
Fax Number : 336-246-6069
Provider Business Practice Location Address
First Line : 1395 W D ST
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3505
Country : US
Telephone Number : 336-651-2910
Fax Number : 336-651-2907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 03/27/2018

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