Individual
MRS. JEANNETTE M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
CARR.132 KM 22.1, BO CANAS, PONCE, PR 00728
(787) 290-1963
(787) 841-0095
Mailing address
PO BOX 801214, COTO LAUREL, PR 00780-1214
(787) 290-1963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4416
PR
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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