Individual
ADRIENNE GAUTIER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 427-1655
Mailing address
5819 WOODSIDE LN, PORTSMOUTH, VA 23703-1534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217377
VA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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