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DR. JOSE ANTONIO MANRIQUEZ PHARM.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1316457120

Individual Registrant:
DR. JOSE ANTONIO MANRIQUEZ PHARM.D.
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

Contact information for business:
222 SOLAR AVE  MONTE VISTA, CO 81144-1066 US
Tel: 719-852-9894  Fax: --

Registration Information:
NPI: 1316457120
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO21648

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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