| NPI | 1598217903 |
|---|---|
| Other Name | KENNETH DAVID LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051293101) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 62225) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |