Mandernack, Bob Edward
Mandernack, Bob Edward is an individual health care provider with primary practice located at 6061 S Willow Dr , Greenwood Village CO 80111-5103. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mandernack, Bob Edward can be contacted via phone (877) 839-8121.Contact Information
Primary practice address
6061 S Willow Dr
Greenwood Village CO 80111-5103
Phone: (877) 839-8121
Fax: (877) 289-0617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13062 | California |
| Pharmacy Service Providers / Pharmacist | 183500000X | Idaho |
Profile Details
| NPI number | 1780649145 |
|---|---|
| LBN Legal business name | Mandernack, Bob Edward |
| Credentials | P.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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