Individual
ALICIA CAMILLE MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13723 N LITCHFIELD RD, SURPRISE, AZ 85379-4268
(623) 255-3208
Mailing address
13723 N LITCHFIELD RD, SURPRISE, AZ 85379-4268
(623) 255-3208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
049187
NY
183500000X
Pharmacist
Primary
S021034
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02959259
—
NY
Enumeration date
03/02/2010
Last updated
07/14/2015
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