Provider Demographics
NPI:1407327992
Name:MANAMIKE, TARIRO (PHARMD)
Entity Type:Individual
Prefix:
First Name:TARIRO
Middle Name:
Last Name:MANAMIKE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEIS MARKETS PHARMACY
Mailing Address - Street 2:2400 E MARKET ST
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402
Mailing Address - Country:US
Mailing Address - Phone:717-757-5941
Mailing Address - Fax:718-757-0049
Practice Address - Street 1:WEIS MARKETS PHARMACY
Practice Address - Street 2:2400 E MARKET STREET
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-757-5941
Practice Address - Fax:717-757-0049
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist