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
1201 BLAIR ST, HOLLIDAYSBURG, PA 16648-2445
(814) 696-0289
(814) 695-8241
Mailing address
PO BOX 1471, ALTOONA, PA 16603-1471
(814) 949-9512
(814) 949-9505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411048-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007336010011
—
PA
Enumeration date
07/27/2005
Last updated
08/27/2008
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