Individual
BRIAN C MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
11582 E GOSHEN MEADOWS RD, MOUNT VERNON, IL 62864-9393
(618) 694-5215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291410
IL
Other
Enumeration date
07/19/2007
Last updated
07/08/2009
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