NPI 1306269105

Mark Manig, RPH

Practitioner Pharmacist Green River, WY

Practice location

Address: 2305 Maryland Dr, Green River, WY 82935-6163
Phone: (307) 760-7344

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2667 (WY)

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Registry record

NPI: 1306269105
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2014
Record last updated: 29 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.