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NPI Code Detail

MEDICARE: DR. VLADA MANZUR PHARM.D.

MEDICARE: DR. VLADA MANZUR 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
11835P2201XAmbulatory Care Pharmacist69368CA

General Provider Information

NPI Number : 1467842484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VLADA MANZUR PHARM.D.
Provider Business Mailing Address
First Line : 5601 DE SOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-6798
Country : US
Telephone Number : 818-719-4172
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DE SOTO AVE
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-6798
Country : US
Telephone Number : 818-719-4172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 06/09/2022

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