Provider Demographics
NPI:1558676684
Name:LUPTON, HOPE JACKSON (RPH)
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:JACKSON
Last Name:LUPTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3922
Mailing Address - Country:US
Mailing Address - Phone:252-222-3643
Mailing Address - Fax:252-222-3982
Practice Address - Street 1:2202 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3922
Practice Address - Country:US
Practice Address - Phone:252-222-3643
Practice Address - Fax:252-222-3982
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist