Provider Demographics
NPI:1205037660
Name:LOPEZ, GLENDA L FIGUEROA (PHARMACY TECHNICIANS)
Entity Type:Individual
Prefix:MISS
First Name:GLENDA L
Middle Name:FIGUEROA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND VALLE DEL SOL
Mailing Address - Street 2:APTO 805
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-7298
Mailing Address - Country:US
Mailing Address - Phone:787-371-1532
Mailing Address - Fax:787-288-8515
Practice Address - Street 1:100 AVE LAUREL
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4816
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:787-288-8515
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3421183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician