Individual
JOAN MANGARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
575 GLYNN ST N, FAYETTEVILLE, GA 30214-1198
(770) 461-3911
(770) 461-1121
Mailing address
215 SPEAR RD, FAYETTEVILLE, GA 30215-5129
(973) 495-1630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH011016
GA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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