Individual
AMIN MANSARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 EXECUTIVE DR, SAINT MARYS, OH 45885-3317
(419) 394-3542
Mailing address
1502 EXECUTIVE DRIVE, ST. MARYS, OH 45885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03325453
OH
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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