Individual
JEAN C. RIVERA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9420 LANHAM SEVERN RD, SEABROOK, MD 20706-2642
(301) 577-5555
Mailing address
9122 BALTIMORE AVE APT 4037, COLLEGE PARK, MD 20740-1379
(787) 399-0358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25393
MD
Other
Enumeration date
10/28/2017
Last updated
10/28/2017
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