Individual
PAUL D MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3165
(502) 561-3655
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3165
(502) 561-3655
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
7106
KY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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