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Individual
DR. JAMES KENNETH MCKENNA-MANTICA
Active
Individual
DR. JAMES KENNETH MCKENNA-MANTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0096278
VT
183500000X
Pharmacist
059979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0096278
VT PHARMACIST LICENSE NUMBER
VT
01
—
059979
NYS PHARMACIST LICENSE NUMBER
NY
Enumeration date
02/03/2015
Last updated
02/04/2015
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