Individual
JOCELYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12320 N 83RD AVE, PEORIA, AZ 85381-4155
(623) 773-1109
Mailing address
12320 N 83RD AVE, PEORIA, AZ 85381-4155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023331
AZ
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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