Individual
HIRAM LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
16 AVE MUNOZ RIVERA E, CAMUY, PR 00627-2628
(787) 898-3690
Mailing address
PO BOX 1194, ISABELA, PR 00662-1194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002469
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002469
PHAMACHIST LICENSE
PR
Enumeration date
12/24/2019
Last updated
12/24/2019
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