Maryanne Mavica

NPI #1952624066 in Cortland, New York

Provider Information

NPI Number: 1952624066
Entity Type: Individual
Name: Maryanne Mavica
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 3, 2010
Last Updated: Jan 6, 2012

Practice Location

Address: 3932 STATE ROUTE 281
City: Cortland
State: New York
ZIP Code: 13045-8851
Phone: (607) 250-2522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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