Healthcare Provider Details

I. General information

NPI: 1730097676
Provider Name (Legal Business Name): SANTIAGO LOPEZ CONTRERAS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5237 MORRIS WAY
FREMONT CA
94536-6522
US

IV. Provider business mailing address

5237 MORRIS WAY
FREMONT CA
94536-6522
US

V. Phone/Fax

Practice location:
  • Phone: 510-860-0433
  • Fax:
Mailing address:
  • Phone: 510-860-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: