Individual
MR. GARY MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 MOUNT HUNGER SHORE RD, WINDHAM, ME 04062-5662
(207) 721-0990
(207) 721-0662
Mailing address
28 MOUNT HUNGER SHORE RD, WINDHAM, ME 04062-5662
(207) 721-0990
(207) 721-0662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR3982
ME
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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