Provider Demographics
NPI:1730891227
Name:POPPLEWELL, LARAINE M (RPH)
Entity type:Individual
Prefix:
First Name:LARAINE
Middle Name:M
Last Name:POPPLEWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LARAINE
Other - Middle Name:M
Other - Last Name:GROFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1530 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-9089
Mailing Address - Country:US
Mailing Address - Phone:610-357-9959
Mailing Address - Fax:
Practice Address - Street 1:1530 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-9089
Practice Address - Country:US
Practice Address - Phone:610-357-9959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI011332183500000X
PARP035956L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist