Individual
CARLOS A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
10700 W FLAGLER ST, MIAMI, FL 33174-1422
(305) 424-1140
Mailing address
15760 SW 85TH AVE, PALMETTO BAY, FL 33157-2196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46770
FL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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