Individual
EZZAT MANKARIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7370 W 52ND AVE, ARVADA, CO 80002-3708
(303) 420-7770
Mailing address
17925 W 77TH DR, ARVADA, CO 80007-7970
(303) 522-7902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15510
CO
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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