Individual
BRITTANY BLISS MANNINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
929 ARSENAL ST, WATERTOWN, NY 13601-2305
(315) 788-0309
(315) 788-1702
Mailing address
11562B NORTHERN BLVD, FORT DRUM, NY 13603-3509
(315) 405-8373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049496
NY
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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