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General NPI Number Information
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NPI Number | 1710895362
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Entity Type | Individual
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Provider Name | ANDREW THOMPSON LOPEZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 901 PRINCE WILLIAM RD
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City | DELPHI
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State | IN
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Zip | 46923-1758
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Country | US
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Telephone | 765-564-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 6442 SHALE CRESCENT DR
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-8938
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26031525A
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License Number State | IN
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