Individual
CASEY MAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1471 W COVELL BLVD, DAVIS, CA 95616-5932
(530) 757-1128
Mailing address
2618 SYRACUSE CT, DAVIS, CA 95618-2575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88971
CA
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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