Doctor Name: | IXAIVIA LOPEZ |
NPI Number: | 1114069341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3237 |
Business Practice Address: | 1001 Ave Emerito Estrada San Sebastian, PR - 00685 |
Business Phone Number: | 7878963090 |
Business Fax Number: | |
Mailing Address: | Hc-01 Box 5320 Bo Voladoras, MOCA |
State: | PR |
Postal Code: | 00676 |
Phone Number: | 7874310469 |
Fax Number: | 7878963090 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 3237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |