Individual
JUSTIN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5820 WESTOWN PKWY, WEST DES MOINES, IA 50266-8223
(515) 267-7894
Mailing address
5820 WESTOWN PKWY, WEST DES MOINES, IA 50266-8223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5773
SD
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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