Provider Demographics
NPI:1053746917
Name:LOPEZ, FRANCISCO (PHARMD, R PH)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:PHARMD, R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2997 FAIRFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-8667
Mailing Address - Country:US
Mailing Address - Phone:559-662-1489
Mailing Address - Fax:
Practice Address - Street 1:2997 FAIRFIELD WAY
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-8667
Practice Address - Country:US
Practice Address - Phone:559-662-1489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA450681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy