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Individual

OCTAVIO CESAR MONT VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-2460
(808) 433-1558

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8351
AZ

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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