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TIJO THOMAS MANTHURUTHIL PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1518579853

Individual Registrant:
 TIJO THOMAS MANTHURUTHIL PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
337 N STATE RD  OTISVILLE, MI 48463-9486 US
Tel: 810-631-4551  Fax: --

Contact information for business:
337 N STATE RD  OTISVILLE, MI 48463-9486 US
Tel: --  Fax: --

Registration Information:
NPI: 1518579853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MI5302412466

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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