Individual
MR. MANOJ SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
560 JENNER DR, ALLEGAN, MI 49010-1517
(269) 673-2181
Mailing address
7063 SPARROW RDG, PORTAGE, MI 49024-3602
(269) 270-3168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036695
MI
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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