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Organization

IBA MOLECULAR NORTH AMERICA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIUS MARTIN III PHARMD (PHARMACY MANAGER)
(214) 331-2268
Entity
Organization

Contact information

Practice address
4447 BRASS WAY, DALLAS, TX 75236-2001
(214) 331-2268
(214) 331-2450
Mailing address
4447 BRASS WAY, DALLAS, TX 75236-2001
(214) 331-2268
(214) 331-2450

Taxonomy

Speciality
Code
Description
License number
State
3336N0007X
Nuclear Pharmacy
22-10390
KS
3336N0007X
Nuclear Pharmacy
Primary
26246
TX
3336N0007X
Nuclear Pharmacy
99-5936
OK
3336N0007X
Nuclear Pharmacy
PHY.006506-NR
LA

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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