Individual
JAIME LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 CALLE AMBAR, URB COSTA BRAVA, ISABELA, PR 00662-1793
(787) 672-5143
Mailing address
PO BOX 1793, ISABELA, PR 00662-1793
(787) 672-5143
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9765
PR
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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