Individual
DAVID MANNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
1601 N PARK DR, WINSLOW, AZ 86047-2559
(928) 289-4615
Mailing address
1601 N PARK DR, WINSLOW, AZ 86047-2559
(928) 289-4615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
72053
TX
183500000X
Pharmacist
Primary
S026469
AZ
Other
Enumeration date
07/24/2023
Last updated
08/07/2023
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