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NPI Code Detail

MEDICARE: SANDOR LOPEZ COTO PHARMD

MEDICARE: SANDOR LOPEZ COTO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS58679FL

General Provider Information

NPI Number : 1144824400
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDOR LOPEZ COTO PHARMD
Provider Business Mailing Address
First Line : 2391 W 68TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-6816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2391 W 68TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-6816
Country : US
Telephone Number : 305-820-2122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ SANDOR LOPEZ COTO PHARMD” Practice Location

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