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NPI Code Detail

MEDICARE: KENNETH D LOPEZ PHARM.D.

MEDICARE: KENNETH D 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
11835C0207XCompounded Sterile Preparations Pharmacist62225CA
21835C0207XCompounded Sterile Preparations Pharmacist051293101IL

General Provider Information

NPI Number : 1598217903
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH D LOPEZ PHARM.D.
Provider Business Mailing Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-859-8700
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-859-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2016
Last Update Date : 01/21/2026

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Directions to “ KENNETH D LOPEZ PHARM.D.” Practice Location

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