Individual
CONNIE MAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6170 THORNTON AVE STE E, NEWARK, CA 94560-3700
(510) 961-1288
Mailing address
6170 THORNTON AVE STE E, NEWARK, CA 94560-3700
(510) 961-1288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
68608
CA
3336C0003X
Community/Retail Pharmacy
Primary
57708
CA
Other
Enumeration date
09/26/2011
Last updated
01/12/2021
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