Provider Demographics
NPI:1457795478
Name:LOPEZ, JOSE AGUINALDO JR (RPH)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:AGUINALDO
Last Name:LOPEZ
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:A
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:2206 W PALMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-1857
Mailing Address - Country:US
Mailing Address - Phone:956-585-3959
Mailing Address - Fax:956-585-7482
Practice Address - Street 1:2206 W PALMA VISTA DR
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-1857
Practice Address - Country:US
Practice Address - Phone:956-585-3959
Practice Address - Fax:956-585-7482
Is Sole Proprietor?:No
Enumeration Date:2013-04-21
Last Update Date:2013-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist