Individual
AINULMUTARA MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1377 NE STEPHENS ST, ROSEBURG, OR 97470-2159
(541) 672-1509
Mailing address
8311 SW 10TH AVE, PORTLAND, OR 97219-4517
(503) 704-9838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013832
OR
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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