Individual
LEXI MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-5800
Mailing address
2766 CHERYL ST, EUGENE, OR 97408-4792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016155
OR
Other
Enumeration date
06/13/2020
Last updated
04/28/2025
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