Individual
PAUL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
17049 W BELL RD, SURPRISE, AZ 85374-2976
(623) 518-1063
(623) 518-1064
Mailing address
17049 W BELL RD, SURPRISE, AZ 85374-2976
(623) 518-1063
(623) 518-1064
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T003936
AZ
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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