Healthcare Provider Details

I. General information

NPI: 1700840410
Provider Name (Legal Business Name): CATHERINE M LOPIENSKI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 MAXWELL AVE
LEWIS CENTER OH
43035-9195
US

IV. Provider business mailing address

1980 MAXWELL AVE
LEWIS CENTER OH
43035-9195
US

V. Phone/Fax

Practice location:
  • Phone: 740-657-1286
  • Fax: 740-548-8521
Mailing address:
  • Phone: 740-657-1286
  • Fax: 740-548-8521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-17473
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: