Individual
DR. JACQUETTA LASHEA MANIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1907 E VICTORY DR, SAVANNAH, GA 31404-3714
(912) 644-1601
Mailing address
1907 E VICTORY DR, SAVANNAH, GA 31404-3714
(912) 644-1601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023984
GA
183500000X
Pharmacist
11822
SC
183500000X
Pharmacist
20248
NC
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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