Individual
MR. KENNETH CHARLES MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1610 E PARHAM RD, RICHMOND, VA 23228-2328
(804) 262-2500
(866) 565-4546
Mailing address
1610 E PARHAM RD, RICHMOND, VA 23228-2328
(804) 262-2500
(866) 565-4546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004983
VA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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