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NPI Code Detail

MEDICARE: ALDWIN LOPEZ-DEE

MEDICARE: ALDWIN LOPEZ-DEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS020063AZ

General Provider Information

NPI Number : 1447663026
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALDWIN LOPEZ-DEE
Provider Business Mailing Address
First Line : 8332 W THUNDERBIRD RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8332 W THUNDERBIRD RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4822
Country : US
Telephone Number : 623-776-3006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2014
Last Update Date : 06/11/2014

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Directions to “ ALDWIN LOPEZ-DEE ” Practice Location

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