Bruce Mandel

NPI #1134723240 in Waukegan, Illinois

Provider Information

NPI Number: 1134723240
Entity Type: Individual
Name: Bruce Mandel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 10 S LEWIS AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-5121
Phone: (847) 623-9194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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