Individual
MR. RICHARD G. MANGUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
6447 CRABTREE ST, SAN DIEGO, CA 92114-7040
(619) 475-2256
Mailing address
6447 CRABTREE ST, SAN DIEGO, CA 92114-7040
(619) 475-2256
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH50665
CA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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