Blake Rufus Mangum, PHARMD Valid NPI

Individual provider · Pharmacist · New Haven, CT

NPI

1821827254

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

PCT.0016818 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-08-01

Last updated

2024-09-27