Individual
JACLYN J LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
600 N GLEBE RD, ARLINGTON, VA 22203-2111
(703) 807-2904
(703) 312-4598
Mailing address
600 N GLEBE RD, ARLINGTON, VA 22203-2111
(703) 807-2904
(703) 312-4598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208374
VA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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