Individual
MICHAEL KALE NATIVIDAD LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
290 BUENA VISTA BLVD, WASHINGTON, UT 84780-2823
(808) 690-7981
Mailing address
290 BUENA VISTA BLVD, WASHINGTON, UT 84780-2823
(808) 690-7981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13253763-1701
UT
183500000X
Pharmacist
23029
NV
183500000X
Pharmacist
PH-4676
HI
Other
Enumeration date
07/26/2021
Last updated
08/07/2023
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