Individual
MARK MANIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2305 MARYLAND DR, GREEN RIVER, WY 82935-6163
(307) 760-7344
Mailing address
2305 MARYLAND DR, GREEN RIVER, WY 82935-6163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2667
WY
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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