Individual
MARIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W HENDERSON ST, CLEBURNE, TX 76033-4830
(817) 641-4036
Mailing address
600 W HENDERSON ST, CLEBURNE, TX 76033-4830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77528
TX
183700000X
Pharmacy Technician
Primary
239695
TX
Other
Enumeration date
04/30/2021
Last updated
07/25/2026
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