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NPI Code Detail

MEDICARE: ANA G LOPEZ RPH

MEDICARE: ANA G LOPEZ RPH
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
1183500000XPharmacistPS024048FL

General Provider Information

NPI Number : 1417238155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA G LOPEZ RPH
Provider Business Mailing Address
First Line : 13880 TOWNE PLACE BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-3345
Country : US
Telephone Number : 407-857-4548
Fax Number : 407-851-8725
Provider Business Practice Location Address
First Line : 13880 TOWNE PLACE BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-3345
Country : US
Telephone Number : 407-857-4548
Fax Number : 407-851-8725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 09/08/2011

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