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NPI Code Detail

MEDICARE: DR. DEBRA ANN LOPEZ PHARM.D.

MEDICARE: DR. DEBRA ANN LOPEZ PHARM.D.
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
11835P1200XPharmacotherapy Pharmacist38547TX

General Provider Information

NPI Number : 1164427936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA ANN LOPEZ PHARM.D.
Provider Business Mailing Address
First Line : 1604 AMELIA DR
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-3230
Country : US
Telephone Number : 512-257-1574
Fax Number :
Provider Business Practice Location Address
First Line : 1313 RED RIVER ST
Second Line : STE 100
City : AUSTIN
State : TX
Zip : 78701-1923
Country : US
Telephone Number : 512-324-8604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DEBRA ANN LOPEZ PHARM.D.” Practice Location

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