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Individual

CARLTON MENCHACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4358
Mailing address
417 E 65TH ST APT 23, NEW YORK, NY 10065-6978

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
68796
TX
1835C0205X
Critical Care Pharmacist
Primary
069442
NY

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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