Individual
ALYSSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
20266 N LAKE PLEASANT RD, PEORIA, AZ 85382-9711
(623) 561-5300
Mailing address
20376 N 55TH DR, GLENDALE, AZ 85308-9100
(623) 205-6494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019325
AZ
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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