Individual
CHARLES MANKRIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1890 ROUTE 88, BRICK, NJ 08724-3535
(732) 836-3282
Mailing address
1890 ROUTE 88, BRICK, NJ 08724-3535
(732) 836-3282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03646300
NJ
183500000X
Pharmacist
RP449326
PA
Other
Enumeration date
07/27/2016
Last updated
05/25/2017
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