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1700176872
WANA MANITPISITKUL
ELLICOTT CITY, MD
NPI
1700176872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: MD 17787)
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
DR. WANA MANITPISITKUL PHARM.D.
4960 WALKING STICK RD APT H
ELLICOTT CITY, MD 21043-8058
Phone number: 410-328-9701
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Mailing Address
DR. WANA MANITPISITKUL PHARM.D.
4960 WALKING STICK RD APT H
ELLICOTT CITY, MD 21043-8058
Phone number: 410-328-9701
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