Tracy Lopez

NPI #1912506049 in Pollock Pines, California

Provider Information

NPI Number: 1912506049
Entity Type: Individual
Name: Tracy Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 20, 2020
Last Updated: Oct 20, 2020

Practice Location

Address: 6450 PONY EXPRESS TRL
City: Pollock Pines
State: California
ZIP Code: 95726-9601
Phone: (530) 647-8013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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