Provider Demographics
NPI:1447323738
Name:PLOPPERT FAMILY LLC
Entity type:Organization
Organization Name:PLOPPERT FAMILY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PLOPPERT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:256-734-4251
Mailing Address - Street 1:1407 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-5310
Mailing Address - Country:US
Mailing Address - Phone:256-734-4251
Mailing Address - Fax:
Practice Address - Street 1:1407 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5310
Practice Address - Country:US
Practice Address - Phone:256-734-4251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002690Medicaid
AL3999940001Medicare NSC