Provider Demographics
NPI:1891460135
Name:LOPIENSKI, ABIGAIL ROSE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ROSE
Last Name:LOPIENSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ABIGAIL
Other - Middle Name:ROSE
Other - Last Name:WISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5870 PONTIAC LN
Mailing Address - Street 2:
Mailing Address - City:BREWERTON
Mailing Address - State:NY
Mailing Address - Zip Code:13029-9795
Mailing Address - Country:US
Mailing Address - Phone:315-744-7483
Mailing Address - Fax:
Practice Address - Street 1:33-57 HARRISON ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2174
Practice Address - Country:US
Practice Address - Phone:607-763-6135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31682681835P1200X
NY069111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy