Individual
CARL MICHAEL MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5050 W BASELINE RD, LAVEEN, AZ 85339-7324
(602) 237-8681
(602) 237-8691
Mailing address
3300 N 7TH AVE UNIT 318, PHOENIX, AZ 85013-4188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025494
AZ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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