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NPI Code Detail

MEDICARE: AMANDA POPA PHARMD

MEDICARE:   AMANDA  POPA  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
1183500000XPharmacist03329021OH

General Provider Information

NPI Number : 1528663432
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA POPA PHARMD
Provider Business Mailing Address
First Line : 1400 PARSONS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-3645
Country : US
Telephone Number : 614-449-9399
Fax Number : 614-449-8050
Provider Business Practice Location Address
First Line : 1400 PARSONS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-3645
Country : US
Telephone Number : 614-449-9399
Fax Number : 614-449-8050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ AMANDA POPA PHARMD” Practice Location

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