Individual
BRANDI LEIGH MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
81 W MAIN ST, GOWANDA, NY 14070-1318
(716) 532-4114
(716) 532-5825
Mailing address
13245 OTTENBECKER RD, LAWTONS, NY 14091-9791
(716) 532-9066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044602
NY
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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