Provider Demographics
NPI:1235146614
Name:RODRIGUEZ-LOPEZ, ARMANDO JR (RPH)
Entity type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:
Last Name:RODRIGUEZ-LOPEZ
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0715
Mailing Address - Country:US
Mailing Address - Phone:787-882-1956
Mailing Address - Fax:
Practice Address - Street 1:ARMANDO RODRIGUEZ-LOPEZ
Practice Address - Street 2:FARMACIA JAYLEEN CARR 110 KM 0.3, BO. CEIBA BAJA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist