Healthcare Provider Details

I. General information

NPI: 1720373517
Provider Name (Legal Business Name): MAGDALY LOPEZ PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 AVE FONT MARTELO
HUMACAO PR
00791-3249
US

IV. Provider business mailing address

PO BOX 7106
CAGUAS PR
00726-7106
US

V. Phone/Fax

Practice location:
  • Phone: 787-469-9296
  • Fax:
Mailing address:
  • Phone: 787-469-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5378
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: