Individual
MS. ALICE L MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
201 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1918
(814) 938-9161
Mailing address
425 N 4TH ST, REYNOLDSVILLE, PA 15851-1281
(814) 653-8796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-033934-L
PA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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