Mangano, Jared Lucas
Mangano, Jared Lucas is an individual health care provider with primary practice located at 35 Computer Dr , Haverhill MA 01832-1236. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mangano, Jared Lucas can be contacted via phone (978) 377-9004.Contact Information
Primary practice address
35 Computer Dr
Haverhill MA 01832-1236
Phone: (978) 377-9004
Fax: (978) 377-1183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHA.0021830 | Colorado |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH239499 | Massachusetts |
Profile Details
| NPI number | 1962926170 |
|---|---|
| LBN Legal business name | Mangano, Jared Lucas |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2017 |
| Last updated | May 26th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962926170 | NPPES |
| Massachusetts | Other | PH239499 | STATE PHARMACIST LICENSE |
| Massachusetts | Other | PHA.0021830 | STATE PHARMACIST LICENSE |
| Massachusetts | Other | PHCY-01051 | STATE PHARMACIST LICENSE |
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