IndividualActive
Paul Mangino, PHARMD, BCPS
NPI 1104998897 · Pharmacotherapy Pharmacist · Louisville, KY
Provider details
- NPI number
- 1104998897
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCPS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7106 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 562-3165
Fax: (502) 561-3655
Approximate (ZIP-level) locationGet directions
Mailing address
530 S Jackson St
Louisville, KY 40202-1675
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.