Man, Connie

Man, Connie is an sole proprietor health care provider with primary practice located at 6170 Thornton Ave Ste E , Newark CA 94560-3700. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is her primary health care specialty. Man, Connie can be contacted via phone (510) 961-1288.

Contact Information

Primary practice address
6170 Thornton Ave Ste E Newark CA 94560-3700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 68608 California
Suppliers / Community/Retail Pharmacy 3336C0003X 57708 California

Profile Details

NPI number 1598048621
LBN Legal business name Man, Connie
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2011
Last updated Jan 12th, 2021 - about 4 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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