DR. Nicole Lopez, PHARMD
NPI #1578168241 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1578168241
- Entity Type
- Individual
- Name
- DR. Nicole Lopez, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Dec 1, 2020
- Last Updated
- Dec 1, 2020
Practice Location
- Address
- 4701 N ILLINOIS ST
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3416
- Phone
- (618) 310-2075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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