DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLE LOPEZ, PHARMD

Active Sole Proprietor

DR. NICOLE LOPEZ, PHARMD is a Pharmacist healthcare provider located in FAIRVIEW HEIGHTS, Illinois. NPI 1578168241 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FAIRVIEW HEIGHTS, IL

Registration Details

NPI Number
1578168241
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2020 (5.6965877815171 yrs)
Last Updated
Dec 1, 2020
Licenses
2012000615 (MO)
051294773 (IL)
Sole Proprietor
Yes

Practice Information

Address
4701 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL, 622083416
Browse IL providers · Browse ZIP 62208
Phone
6183102075
Fax
6183102085
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in FAIRVIEW HEIGHTS, IL

Name Credential NPI
MR. KELLY LOUIS MARLER RPH 1093047698
MRS. AMY MICHELE WELSER BS 1356673578
MRS. BECKY J TROST RPH 1427343060
ALISON T BUSTARD PHARM D 1528348232
MRS. KELLY ANN ODUM RPH 1538442272
MR. RICHARD PAUL DONJON R.PH. 1942584149
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.