MEDICARE: DENISE ANN POEPPELMAN

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	03-3-20005	OH

General Provider Information

NPI Number	:	1184235103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ANN POEPPELMAN

Provider Business Mailing Address
First Line	:	13470 RENEE DR
Second Line	:
City	:	ANNA
State	:	OH
Zip	:	45302-9656
Country	:	US
Telephone Number	:	614-309-0011
Fax Number	:

Provider Business Practice Location Address
First Line	:	4506 BRANDT PIKE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-6071
Country	:	US
Telephone Number	:	937-233-8930
Fax Number	:	937-233-5135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	05/28/2026

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Directions to “ DENISE ANN POEPPELMAN ” Practice Location

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