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Individual

IVAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8320 W CHEYENNE AVE, LAS VEGAS, NV 89129-2147
(702) 658-1229
Mailing address
2704 W SAN MIGUEL AVE, NORTH LAS VEGAS, NV 89032-3026
(702) 561-7245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24681
NV

Other

Enumeration date
07/29/2025
Last updated
07/29/2025
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