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NPI Code Detail

MEDICARE: DR. MARIBEL LOPEZ PHARM.D.

MEDICARE: DR. MARIBEL LOPEZ PHARM.D.
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
11835P1200XPharmacotherapy Pharmacist42363TX

General Provider Information

NPI Number : 1467409722
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIBEL LOPEZ PHARM.D.
Provider Business Mailing Address
First Line : 12024 SPIRE TERRACE DR
Second Line :
City : EL PASO
State : TX
Zip : 79936-0943
Country : US
Telephone Number : 915-856-8910
Fax Number :
Provider Business Practice Location Address
First Line : 700 S OCHOA ST
Second Line :
City : EL PASO
State : TX
Zip : 79901-2936
Country : US
Telephone Number : 915-534-7979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/08/2007

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