National Provider Identifier

Kenneth Edward Mantei, RPH

Kenneth Edward Mantei, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 733-5202.

NPI 1508047515Elmira, NYPharmacist

Profile Overview

NPI
1508047515
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 19, 2007
Last Updated
November 19, 2007

Practice Location

  • 119 W. 2Nd
  • Elmira, NY 14901

Phone: (607) 733-5202

Mailing Address

  • 1 Waterman Ave
  • PO Box 375
  • Apalachin, NY 13732

Specialties

  • Pharmacist (183500000X)
  • Pharmacist (183500000X)
Full Record
NPI
1508047515
Entity Type
Individual
Last Name
Mantei
First Name
Kenneth
Middle Name
Edward
Credential
RPH
Mailing Street Address
1 Waterman Ave
Mailing Address Line 2
PO Box 375
Mailing City
Apalachin
Mailing State
NY
Mailing ZIP Code
13732
Mailing Country
US
Mailing Phone
(607) 624-5012
Practice Street Address
119 W. 2Nd
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 733-5202
Practice Fax
(607) 733-5202
Enumeration Date
November 19, 2007
Last Updated
November 19, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X), Pharmacist (183500000X)