Individual
MS. DONNA JEAN MANBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4320 26TH ST W, BRADENTON, FL 34205-3563
(941) 755-8596
Mailing address
6509 MEANDERING WAY, LAKEWOOD RANCH, FL 34202-1825
(941) 962-5678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100574000
—
FL
Enumeration date
11/26/2011
Last updated
11/26/2011
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