Individual
MODOU DAVID MANNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-2159
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6799
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
137460
AK
Other
Enumeration date
09/11/2018
Last updated
11/25/2024
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