Individual
MRS. JEAN ELLEN MANASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
201 19TH ST E, JASPER, AL 35501-5457
(205) 387-1403
Mailing address
201 19TH ST E, JASPER, AL 35501-5457
(205) 387-1403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13922
AL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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