Organization
KOPP DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E EARNEST RPH (COO)
(814) 949-9512
Entity
Organization
Contact information
Practice address
121 W ALLEGHENY ST, KOPP DRUG INC, MARTINSBURG, PA 16662-1103
(814) 793-2171
(814) 793-9777
Mailing address
PO BOX 1471, KOPP DRUG INC, ALTOONA, PA 16603-1471
(814) 949-9512
(814) 949-9505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP412290L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007336010019
—
PA
Enumeration date
08/03/2005
Last updated
08/27/2008
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