DR. Carl E Mantecon SR., RPH

NPI #1548542160 in Lynn Haven, Florida

Provider Information

NPI Number
1548542160
Entity Type
Individual
Name
DR. Carl E Mantecon SR., RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Sep 10, 2011
Last Updated
Feb 1, 2012

Practice Location

Address
1402 OHIO AVE
State
Florida
ZIP Code
32444-3743
Phone
(850) 265-0499

Specialties & Taxonomy Codes

Specialty
Pharmacist

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