Provider Demographics
NPI:1396534020
Name:MANZON, JOVITA (RPH)
Entity type:Individual
Prefix:
First Name:JOVITA
Middle Name:
Last Name:MANZON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JOVITA
Other - Middle Name:
Other - Last Name:ROSARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:6741 ENGLISH GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5740
Mailing Address - Country:US
Mailing Address - Phone:513-407-1252
Mailing Address - Fax:
Practice Address - Street 1:7644 VOICE OF AMERICA CENTRE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2794
Practice Address - Country:US
Practice Address - Phone:513-712-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03221522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist