Individual
MARY E MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16604 20TH AVE W, LYNNWOOD, WA 98037-5303
(360) 484-4363
Mailing address
PO BOX 5801, LYNNWOOD, WA 98046-5801
(360) 484-4363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17524
WA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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