Individual
CAMILLE LOPEZ DE VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
12630 SW 120TH ST, MIAMI, FL 33186-9063
(305) 253-7837
Mailing address
12630 SW 120TH ST, MIAMI, FL 33186-9063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46333
FL
Other
Enumeration date
12/21/2011
Last updated
09/23/2013
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