Healthcare Provider Details

I. General information

NPI: 1922764026
Provider Name (Legal Business Name): HENRY FRANK LOPEZ JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29455 N CAVE CREEK RD
CAVE CREEK AZ
85331-3245
US

IV. Provider business mailing address

888 E CLINTON ST APT 1018
PHOENIX AZ
85020-5803
US

V. Phone/Fax

Practice location:
  • Phone: 148-053-8713
  • Fax:
Mailing address:
  • Phone: 623-217-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS025589
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: