Shane Manago

NPI #1205467156 in Wailuku, Hawaii

Provider Information

NPI Number: 1205467156
Entity Type: Individual
Name: Shane Manago
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 135 KEHALANI VILLAGE DR
City: Wailuku
State: Hawaii
ZIP Code: 96793-2197
Phone: (808) 242-5606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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