Individual
CELIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 W MONROE ST, BANGOR, MI 49013-1330
(269) 427-7706
Mailing address
49510 COUNTY ROAD 681, P.O.BOX 69, LAWRENCE, MI 49064-9047
(269) 655-6137
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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