Most Relevant Information
Provider Data
| NPI Number: | 1003406968 |
| Provider Name: | DOMINIC JAMES MANEVAL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PI124803 |
Most Important Dates
| Enumeration Date: | 01/24/2021 |
| Last Updated: | 08/22/2024 |
Provider Practice Location
620 BALTIMORE DR
WILKES BARRE
PA
187027959
Practice Location Phone/Fax
| Phone: | 5702084721 |
| Fax: |
Provider Mailing Location
949 LITTLE LEAGUE RD
JERSEY SHORE
PA
177409007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |