Individual
MAGGIE MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4415
Mailing address
2100 GARDINER LN, SULLIVAN UNIVERSITY COLLEGE OF PHARMACY, LOUISVILLE, KY 40205-2962
(502) 609-0937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014123
KY
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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