Provider Demographics
NPI:1568468957
Name:MANLEY, HAROLD J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:MANLEY
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 1:25 PARKWYN DR
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-4107
Mailing Address - Country:US
Mailing Address - Phone:518-439-5285
Mailing Address - Fax:
Practice Address - Street 1:25 PARKWYN DR
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-4107
Practice Address - Country:US
Practice Address - Phone:518-439-5285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042270183500000X
MO045287183500000X
DC2972181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy