Individual
MS. IVONNE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
SANTA ISIDRA I CALLE 1 B-5, FAJARDO, PR 00738
(787) 863-1477
(787) 863-5207
Mailing address
PO BOX 1625, FAJARDO, PR 00738-1625
(787) 863-1477
(787) 863-5207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2403
PR
183500000X
Pharmacist
PS 25894
FL
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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