Individual
DR. NIKKO PATRICK POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3170 S HIGLEY RD, GILBERT, AZ 85295-2051
(773) 612-0452
Mailing address
4732 S. GRISWOLD ST., GILBERT, AZ 85297
(773) 612-0452
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S024799
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S024799
ARIZONA BOARD OF PHARMACY
AZ
Enumeration date
01/01/2021
Last updated
01/01/2021
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