Jose Antonio Manriquez, PHARM.D. Valid NPI
Individual provider · Pharmacist · Monte Vista, CO
- NPI
- 1316457120
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 21648 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2017-10-06
- Last updated
- 2017-10-18
Practice location
222 Solar Ave
Monte Vista, CO 81144-1066
(719) 852-9894