Individual
ELIZABETH MANGEAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHAMD
Contact information
Practice address
175 S MIDDLETON RD, NAMPA, ID 83686-8124
(208) 546-3396
Mailing address
175 S MIDDLETON RD, NAMPA, ID 83686-8124
(208) 546-3396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7571
ID
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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