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NPI Code Detail

MEDICARE: EDUARDO LOPEZ III PHARMD

MEDICARE: EDUARDO LOPEZ III 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
1183500000XPharmacistPS37955FL

General Provider Information

NPI Number : 1629359245
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUARDO LOPEZ III PHARMD
Provider Business Mailing Address
First Line : 6476 SW 9TH ST
Second Line :
City : WEST MIAMI
State : FL
Zip : 33144-4822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 ANSIN BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-2118
Country : US
Telephone Number : 954-874-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2011
Last Update Date : 09/09/2011

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Directions to “ EDUARDO LOPEZ III PHARMD” Practice Location

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