Michael Bopp

NPI #1366043853 in Maplewood, Missouri

Provider Information

NPI Number: 1366043853
Entity Type: Individual
Name: Michael Bopp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 1900 MAPLEWOOD COMMONS DR
Address 2: PHARMACY
City: Maplewood
State: Missouri
ZIP Code: 63143
Phone: (314) 781-2935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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