Individual
ALYSSA MORGAN MANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 FAIRVIEW LAKE WAY, SIMPSONVILLE, SC 29680-7105
(463) 209-3022
Mailing address
508 FAIRVIEW LAKE WAY, SIMPSONVILLE, SC 29680-7105
(463) 209-3022
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
43735
SC
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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