Individual
SUSANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
603 LOUIS HENNA BLVD STE A, ROUND ROCK, TX 78664-7186
(512) 828-0814
Mailing address
603 LOUIS HENNA BLVD STE A, ROUND ROCK, TX 78664-7186
(512) 828-0814
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
TX
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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