Individual
ALLISON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
805 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-1311
(863) 293-9133
Mailing address
2808 CAMBRIDGE AVE, LAKELAND, FL 33803-3023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42845
FL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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