Provider Demographics
NPI:1588466528
Name:STOEPEL, LORI ANNE (RPH)
Entity type:Individual
Prefix:
First Name:LORI ANNE
Middle Name:
Last Name:STOEPEL
Suffix:
Gender:
Credentials:RPH
Other - Prefix:MRS
Other - First Name:LORI
Other - Middle Name:ANNE
Other - Last Name:CORDERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:30 WINCHESTER TER
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2039
Mailing Address - Country:US
Mailing Address - Phone:973-307-7012
Mailing Address - Fax:
Practice Address - Street 1:260 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3854
Practice Address - Country:US
Practice Address - Phone:973-664-9412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02380900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty