Individual
MRS. CECILIA MAE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7617
Mailing address
109 4TH AVE, NEWARK, NJ 07104-2605
(973) 485-2154
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW00322400
NJ
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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