Individual
JUAN CARLOS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6331 BIGELOW CMNS, ENFIELD, CT 06082-3353
(915) 235-5716
Mailing address
6331 BIGELOW CMNS, ENFIELD, CT 06082-3353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241274
MA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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