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1164759338
MARTIN D MANICKATH
DALLAS, TX
NPI
1164759338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 38933)
Enumeration Date
2009-11-09
Last Update Date
2009-11-09
Business Address
Mr. MARTIN D MANICKATH
2311 LAKELAND DR
DALLAS, TX 75228-5353
Phone number: 214-320-0892
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Mailing Address
Mr. MARTIN D MANICKATH
2311 LAKELAND DR
DALLAS, TX 75228-5353
Phone number: 214-320-0892
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