Individual
LUZ DE BORINQUEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPHT
Contact information
Practice address
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086-5784
(904) 819-4320
(904) 819-4923
Mailing address
2867 N 9TH ST, SAINT AUGUSTINE, FL 32084-1867
(904) 819-4320
(904) 819-4923
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT100518
FL
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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