Individual
INDRA MARIE LOPEZ CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 AVE DE DIEGO, CAROLINA, PR 00987-4800
(787) 762-8412
Mailing address
2550 AVE DE DIEGO, CAROLINA, PR 00987-4800
(787) 762-8412
(787) 762-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2862
PR
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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