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Organization
KOPP PHARMACY
Active
Organization
KOPP PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E EARNEST RPH (COO)
(814) 949-9512
Entity
Organization
Contact information
Practice address
501 HOWARD AVE, BLDG G, ALTOONA, PA 16601-4810
(814) 943-0621
(814) 943-0632
Mailing address
PO BOX 1471, ALTOONA, PA 16603-1471
(814) 949-9512
(914) 949-9505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP410198L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434720004
—
PA
Enumeration date
08/04/2005
Last updated
08/27/2008
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