Provider Demographics
NPI:1972320554
Name:ZOPP, JULIE DYAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DYAN
Last Name:ZOPP
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 1:53 KERRY RD
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-2017
Mailing Address - Country:US
Mailing Address - Phone:304-670-2414
Mailing Address - Fax:
Practice Address - Street 1:204 THREE SPRINGS DR STE A
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3836
Practice Address - Country:US
Practice Address - Phone:304-723-2528
Practice Address - Fax:304-723-2540
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist