MEDICARE: MICHAEL R POPKIN RPH

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	183500000X	Pharmacist	0016936PS	FL

General Provider Information

NPI Number	:	1326022211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R POPKIN RPH

Provider Business Mailing Address
First Line	:	127 DURHAM PL
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-7103
Country	:	US
Telephone Number	:	407-786-1537
Fax Number	:	407-786-1537

Provider Business Practice Location Address
First Line	:	127 DURHAM PL
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-7103
Country	:	US
Telephone Number	:	407-786-1537
Fax Number	:	407-786-1537

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

Provider Enumeration Date	:	12/04/2005
Last Update Date	:	07/08/2007

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Directions to “ MICHAEL R POPKIN RPH” Practice Location

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