# DR. JEREMY POPEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194121202
- **Gender:** Man
- **Credential:** PHARMD,R.PH.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 2007034316 | MO | Yes |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2007034316 | PHARMACIST LICENSE | MO |