Celia Lopez

Individual provider Active NPI Pharmacy Technician · Bangor, MI

NPI 1104930486 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104930486
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
Practice address
211 W Monroe St
Bangor, MI 49013-1330
Phone
(269) 427-7706
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X Yes

Addresses

Primary practice location

211 W Monroe St
Bangor, MI 49013-1330

Mailing address

49510 County Road 681
P.O.Box 69
Lawrence, MI 49064-9047
Phone (269) 655-6137

Other providers in Bangor, MI

All providers in Bangor, MI · Pharmacy Technician in Michigan

Sources for this page

Verify at the official NPI Registry.