Individual
MR. ERMANO MARIO MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1205 E CENTRAL AVE, MIAMISBURG, OH 45342-3544
(937) 866-6651
(937) 866-6650
Mailing address
1205 E CENTRAL AVE, MIAMISBURG, OH 45342-3544
(937) 866-6651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03215480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03215480
—
OH
05
—
NA
—
OH
Enumeration date
11/20/2020
Last updated
11/20/2020
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