| NPI | 1780649145 |
|---|---|
| Professional Name | ROBERT EDWARD MANDERNACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID 051-027241) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 13062) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |