Jm Mancuso Enterprise INC
NPI #1851302038 in Carbondale, Pennsylvania
Provider Information
- NPI Number
- 1851302038
- Entity Type
- Organization
- Organization Name
- Jm Mancuso Enterprise INC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Dec 15, 2010
Practice Location
- Address
- 19 DUNDAFF ST
- City
- Carbondale
- State
- Pennsylvania
- ZIP Code
- 18407-1828
- Phone
- (570) 282-1410
Authorized Official
- Name
- MR. MICHAEL D MANCUSO, MBA
- Title
- PRESIDENT
- Phone
- (570) 282-1410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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