Provider Demographics
NPI:1033929096
Name:LOPEZ, RHENA PATRICIA (PHARMD)
Entity type:Individual
Prefix:
First Name:RHENA
Middle Name:PATRICIA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10219 HUNTINGTON WAY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3125
Mailing Address - Country:US
Mailing Address - Phone:832-573-0285
Mailing Address - Fax:
Practice Address - Street 1:361 INTEGRITY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1416
Practice Address - Country:US
Practice Address - Phone:877-571-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist