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Individual

GERARDO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
955 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6925
(575) 434-4116
Mailing address
955 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6925
(575) 434-4116

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007610
NM

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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