Individual
DR. JOSE ANTONIO MANRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
222 SOLAR AVE, MONTE VISTA, CO 81144-1066
(719) 852-9894
(719) 852-9897
Mailing address
222 SOLAR AVE, MONTE VISTA, CO 81144-1066
(719) 852-9894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21648
CO
Other
Enumeration date
10/06/2017
Last updated
10/18/2017
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