Individual
JOHANNA LIZETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 235-2360
(623) 235-2361
Mailing address
10675 W INDIAN SCHOOL RD, AVONDALE, AZ 85392-5645
(623) 772-0502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S021007
AZ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S021007
AZ
Other
Enumeration date
11/17/2014
Last updated
03/13/2020
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