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General NPI Number Information
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NPI Number | 1174673339
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Entity Type | Organization
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Legal Business Name | LOPEZ PHARMACY
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5850 FM 802 STE C8
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City | BROWNSVILLE
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State | TX
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Zip | 78526-5206
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Country | US
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Telephone | 956-838-0800
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Fax | 956-838-0802
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Provider Business Mailing Address
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Address Line | 5850 FM 802 STE C8
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City | BROWNSVILLE
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State | TX
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Zip | 78526-5206
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Country | US
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Telephone | 956-838-0800
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Fax | 956-838-0802
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | DR. JOSE LUIS LOPEZ
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Credential | PHARMD
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Telephone | 956-838-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23363
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License Number State | TX
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