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Individual

JUAN ANTONIO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-4677
(512) 255-0617
Mailing address
709 MISTY MORNING WAY UNIT B, ROUND ROCK, TX 78664-2773
(512) 769-9270

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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