Individual
DR. JARED LUCAS MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
35 COMPUTER DR, HAVERHILL, MA 01832-1236
(978) 377-9004
(978) 377-1183
Mailing address
35 COMPUTER DR, HAVERHILL, MA 01832-1236
(978) 377-9004
(978) 377-1183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239499
MA
183500000X
Pharmacist
PHA.0021830
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH239499
STATE PHARMACIST LICENSE
MA
01
—
PHA.0021830
STATE PHARMACIST LICENSE
CO
01
—
PHCY-01051
STATE PHARMACIST LICENSE
NH
Enumeration date
07/29/2017
Last updated
05/26/2025
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