Jacquelyn Lopez
Pharmacist in Tamarac, FL. Individual provider (NPI-1).
NPI number1982016556
StatusActive
Last updated in NPPESMay 29, 2014
Details
- NPI
- 1982016556
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Lopez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2014
- Last updated
- May 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS50959 | FL | Yes |
Practice location
4121 W Commercial BlvdTamarac, FL 33319-3303
Phone 954-486-4052
Mailing address
4121 W Commercial BlvdTamarac, FL 33319-3303
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