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1023159555
MARK C. GRANBERRY
SAN ANTONIO, TX
NPI
1023159555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: TX 41497)
Enumeration Date
2007-02-09
Last Update Date
2009-02-06
Business Address
-- MARK C. GRANBERRY Pharm.D.
4301 BROADWAY ST CPO99
SAN ANTONIO, TX 78209-6318
Phone number: 210-805-3025
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Mailing Address
-- MARK C. GRANBERRY Pharm.D.
4301 BROADWAY ST CPO99
SAN ANTONIO, TX 78209-6318
Phone number: 210-805-3025
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