Provider Demographics
NPI:1831255017
Name:LOPEZ ANDRZEJEK, MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:LOPEZ ANDRZEJEK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 7775
Mailing Address - Street 2:DEPT 52191
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94120-7775
Mailing Address - Country:US
Mailing Address - Phone:415-577-7840
Mailing Address - Fax:
Practice Address - Street 1:2424 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2415
Practice Address - Country:US
Practice Address - Phone:415-826-3484
Practice Address - Fax:415-826-7077
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52970183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFLU11407FMedicare ID - Type Unspecified
CAPHA471220Medicare ID - Type UnspecifiedCALIFORNIA MEDI-CAL