Individual
JEFFERY CLARK MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2003 E RODEO DR, COTTONWOOD, AZ 86326-5999
(928) 634-0440
(928) 634-0420
Mailing address
2003 E RODEO DR, COTTONWOOD, AZ 86326-5999
(928) 634-0440
(928) 634-0420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020679
AZ
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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