Provider Demographics
NPI:1851493191
Name:LOPEZ, LARRY MARKEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:MARKEL
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 NW 31ST TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-2732
Mailing Address - Country:US
Mailing Address - Phone:352-373-9768
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTH NEWELL DR.
Practice Address - Street 2:HPNP BLDG 212; ROOM 3309
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611
Practice Address - Country:US
Practice Address - Phone:352-273-6234
Practice Address - Fax:352-273-6242
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122901835P1200X
KY0067251835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy