Individual provider · NPI-1

Monica Lopez

Pharmacy Technician · Bay Shore, NY

NPI number1619367315
StatusActive
Last updated in NPPESFeb 2, 2015

Details

NPI
1619367315
Entity type
Individual (NPI-1)
Name
Monica Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Feb 2, 2015
Last updated
Feb 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician––Yes

Practice location

838 Sunrise Hwy
Bay Shore, NY 11706-5908

Phone 631-969-8970

Mailing address

838 Sunrise Hwy
Bay Shore, NY 11706-5908

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