Individual
JAHAIRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 DEERFIELD AVE, WATERBURY, CT 06708-1331
(203) 437-3674
Mailing address
300 CHASE AVE, WATERBURY, CT 06704-2246
(203) 437-3674
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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