| NPI | 1073395463 |
|---|---|
| Former Legal Business Name | LOPEZ CAPITOL GROUP CORP DBA MELISSA'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MELISSA LOPEZ President 305-967-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-24 |