Individual
DOMINIQUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5017 W HIGHWAY 290, AUSTIN, TX 78735-6703
(512) 892-6175
Mailing address
1700 E 4TH ST APT 1233, AUSTIN, TX 78702-0021
(915) 820-4642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76207
TX
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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