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Individual

DR. BRIAN JAMES MANZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
235 5TH ST, FREEPORT PHARMACY, FREEPORT, PA 16229-1246
(724) 295-2411
Mailing address
146 BIRCHWOOD WAY, IRWIN, PA 15642-4708
(724) 864-3421

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
40189
TX
183500000X
Pharmacist
Primary
RP437962
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP437962
PHARMACIST LICENSE
PA
Enumeration date
10/21/2006
Last updated
07/08/2007
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