MEDICARE: DANA MANNING PHARM.D., R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DN003337	PA
2	1835P1200X	Pharmacotherapy Pharmacist	RP442865	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DN003337	OTHER	PA	DIETITIAN NUTRITIONIST
2	RPI000804	OTHER	PA	PHARMACIST ADMINISTRATION OF INJECTABLES
3	RP442865	OTHER	PA	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1457949158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA MANNING PHARM.D., R.D.

Provider Business Mailing Address
First Line	:	552 KENNEDY CREEK RD
Second Line	:
City	:	NORTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18414-8115
Country	:	US
Telephone Number	:	570-677-7818
Fax Number	:

Provider Business Practice Location Address
First Line	:	552 KENNEDY CREEK RD
Second Line	:
City	:	NORTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18414-8115
Country	:	US
Telephone Number	:	570-677-7818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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