Individual
MR. DONALD LEE MANUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1300 WESTWOOD LN STE A, WILKESBORO, NC 28697-2638
(336) 667-9347
(336) 667-9350
Mailing address
1300 WESTWOOD LN STE A, WILKESBORO, NC 28697-2638
(336) 667-9347
(336) 667-9350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0855188
—
NC
01
—
2801295
MEDICARE PTAN
NC
Enumeration date
11/02/2011
Last updated
11/02/2011
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