Individual
KELLY L MANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2030 ROUTE 34, OSWEGO, IL 60543
(630) 554-4005
(630) 383-7164
Mailing address
2030 ROUTE 34, OSWEGO, IL 60543
(630) 554-4005
(630) 383-7164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296370
IL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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