Individual
CODY MANGUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
Mailing address
6962 POCO BUENO CIR, SPARKS, NV 89436-7467
(775) 813-2526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19043
NV
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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