Individual
GINA NICOLE MANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1340 S CANAL ST, CHICAGO, IL 60607-5208
(312) 666-5908
Mailing address
1340 S CANAL ST, CHICAGO, IL 60607-5208
(312) 666-5612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302318
IL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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