Individual
DANIEL MATHEW MANCHA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
8825 N LOOP DR STE 107, EL PASO, TX 79907-4607
(915) 444-8124
Mailing address
11253 THUNDERCLOUD DR, EL PASO, TX 79936-1227
(915) 503-7344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68432
TX
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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