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NPI Code Detail

MEDICARE: DR. JOSEPH JAMES MANCARI PHARM.D.

MEDICARE: DR. JOSEPH JAMES MANCARI PHARM.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
1183500000XPharmacist051297904IL

General Provider Information

NPI Number : 1841693587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH JAMES MANCARI PHARM.D.
Provider Business Mailing Address
First Line : 3358 S UNION AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3358 S UNION AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3425
Country : US
Telephone Number : 773-758-3668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2014
Last Update Date : 10/08/2014

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