Individual
LOPAKA ISAO TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8620 GUILFORD RD, COLUMBIA, MD 21046-1404
(410) 290-5902
Mailing address
8403 GLAD RIVERS ROW, COLUMBIA, MD 21045-7424
(410) 707-9807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14988
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14988
STATE BOARD OF PHARMACY
MD
Enumeration date
09/08/2020
Last updated
09/08/2020
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