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DR. JOSE ANTONIO MANRIQUEZ PHARM.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1316457120
Individual Registrant:DR. JOSE ANTONIO MANRIQUEZ PHARM.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
222 SOLAR AVE MONTE VISTA, CO 81144-1066 US
Tel: 719-852-9894 Fax: 719-852-9897
Tel: 719-852-9894 Fax: 719-852-9897
Contact information for business:
222 SOLAR AVE MONTE VISTA, CO 81144-1066 US
Tel: 719-852-9894 Fax: --
Tel: 719-852-9894 Fax: --
Registration Information:
NPI: 1316457120
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CO | 21648 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
