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Individual
MR. MANNIE TRUJILLO
Active
Individual
MR. MANNIE TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1-16984
KS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2014042861
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
46176
TX
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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