Tijo Thomas Manthuruthil, PHARMD is a
Pharmacist based in Otisville, Michigan. Tijo Thomas Manthuruthil is licensed to practice in Michigan (license number 5302412466) and his current practice location is
337 N State Rd, Otisville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 631-4551.
NPI number for Tijo Thomas Manthuruthil is 1518579853 and his current mailing address is 337 N State Rd, Otisville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518579853.
Healthcare Provider's Profile
Full Name | Tijo Thomas Manthuruthil |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 337 N State Rd, Otisville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518579853
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 08/18/2020
Medical Identifiers
Medical identifiers for Tijo Thomas Manthuruthil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518579853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302412466 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tijo Thomas Manthuruthil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tijo Thomas Manthuruthil, PHARMD 337 N State Rd, Otisville, MI 48463-9486 Ph: () - | Tijo Thomas Manthuruthil, PHARMD 337 N State Rd, Otisville, MI 48463-9486 Ph: (810) 631-4551 |
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