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Individual

DR. MARLENE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
STATE ROAD 31 KM 24, JUNCOS SHOPPING CENTER, JUNCOS, PR 00777
(787) 713-1441
Mailing address
HACIENDA PRIMAVERA, 47 CALLE INVIERNO, CIDRA, PUERTO RICO 00739
(720) 256-5172

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5470
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5470
PHARMACIST LICENSE
PR
Enumeration date
06/10/2011
Last updated
06/10/2011
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