Individual
TIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2512 BROADWAY, GRAND JUNCTION, CO 81507-2758
(970) 257-0233
Mailing address
3153 1/2 SHARPTAIL ST, GRAND JUNCTION, CO 81504-6230
(870) 577-4578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20924
CO
Other
Enumeration date
08/21/2015
Last updated
12/11/2016
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