Individual
LIZVETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
11517 W COLONY ST, BOISE, ID 83709-7760
(208) 305-7418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I58460
ID
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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