Individual
BRIANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 HEMPSTEAD AVE, MALVERNE, NY 11565-2034
(516) 593-8663
Mailing address
1 ATLANTIC AVE APT 42, FARMINGDALE, NY 11735-2770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064402
NY
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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