MEDICARE: MS. CINDY ALBERT MANNO RPH

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	183500000X	Pharmacist	0202005658	VA

General Provider Information

NPI Number	:	1275594384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDY ALBERT MANNO RPH

Provider Business Mailing Address
First Line	:	9393 RIVERSHORE DR
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23433-1517
Country	:	US
Telephone Number	:	757-238-3706
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 LYNNHAVEN PKWY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1492
Country	:	US
Telephone Number	:	757-314-8914
Fax Number	:

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	07/08/2007

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