Individual
DOMINIC JAMES MANEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 BALTIMORE DR, WILKES BARRE, PA 18702-7959
(570) 208-4721
Mailing address
949 LITTLE LEAGUE RD, JERSEY SHORE, PA 17740-9007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI124803
PA
Other
Enumeration date
01/24/2021
Last updated
08/22/2024
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