Individual
ALEXANDRA JO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 W BRIGGSMORE AVE, MODESTO, CA 95350-3791
(209) 521-5713
(209) 521-6932
Mailing address
2020 W BRIGGSMORE AVE, MODESTO, CA 95350-3791
(209) 521-5713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73717
CA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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