NITIN MANTENA

VANCOUVER, WA
NPI1841544079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60291255)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  RPH0013198)
Enumeration Date2012-11-09
Last Update Date2012-11-09
Business Address
-- NITIN MANTENA Pharmacist
13511 SE 3RD WAY
VANCOUVER, WA 98684-6990
Phone number: 360-885-0839
Mailing Address
-- NITIN MANTENA Pharmacist
2422 SE 32ND AVE
PORTLAND, OR 97214-5633
Phone number: 662-801-3177