MEDICARE: GUINIVIR 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
1	183500000X	Pharmacist	PH1000905	MA
2	183500000X	Pharmacist	75202	TX

General Provider Information

NPI Number	:	1578368791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUINIVIR LOPEZ RPH

Provider Business Mailing Address
First Line	:	10801 N MOPAC EXPY UNIT 4604
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-6639
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 S PLEASANT VALLEY RD # 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-2911
Country	:	US
Telephone Number	:	855-745-5725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	06/25/2025

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Directions to “ GUINIVIR LOPEZ RPH” Practice Location

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