NPI 1407114887

Randi Katherine Popp

Organisation Non-Pharmacy Dispensing Site Charleston, SC

Practice location

Address: 1483 Tobias Gadson Blvd Suite 102, Charleston, SC 29407-8702
Phone: (843) 766-6229
Mailing address: 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726

Authorised official

Name: Randi K. Popp
Title: Owner
Phone: (843) 766-6229

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in South Carolina →

Registry record

NPI: 1407114887
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 16 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.