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NPI Code Detail

MEDICARE: DR. CHRISTI MARIE LOPEZ PHARMD

MEDICARE: DR. CHRISTI MARIE LOPEZ 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
1183500000XPharmacist40066TX
2183500000XPharmacist5409100-1701UT

General Provider Information

NPI Number : 1801854229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTI MARIE LOPEZ PHARMD
Provider Business Mailing Address
First Line : 1525 W 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1401
Country : US
Telephone Number : 801-213-9150
Fax Number :
Provider Business Practice Location Address
First Line : 1525 W 2100 S
Second Line : REDWOOD ANTICOAGULATION CLINIC
City : SALT LAKE CITY
State : UT
Zip : 84119-1401
Country : US
Telephone Number : 801-213-9150
Fax Number : 801-213-9160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/02/2007

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