MEDICARE: MANNS DRUG STORE

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	333600000X	Pharmacy		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780681676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANNS DRUG STORE

Provider Business Mailing Address
First Line	:	1101 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1301
Country	:	US
Telephone Number	:	412-672-7617
Fax Number	:	412-672-6770

Provider Business Practice Location Address
First Line	:	1101 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1301
Country	:	US
Telephone Number	:	412-672-7617
Fax Number	:	412-672-6770

Authorized Official
Title or Position	:	MGR/OWNER
Name	:	MR. DAVID W MANNS
Credential	:
Telephone Number	:	412-672-7617

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/21/2022

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Directions to “MANNS DRUG STORE ” Practice Location

Language	Start Address	Practice Location

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