Individual
DR. GINA M MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1015 NE RICE RD, LEES SUMMIT, MO 64086-6360
(816) 525-1479
Mailing address
919 BIRCHWOOD DR, RAYMORE, MO 64083-8582
(816) 682-3810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-12894
KS
183500000X
Pharmacist
Primary
2001006696
MO
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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