Provider Demographics
NPI:1487982989
Name:MANLEY, NOELLE LAUREN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:LAUREN
Last Name:MANLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 TARRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1463
Mailing Address - Country:US
Mailing Address - Phone:914-288-0003
Mailing Address - Fax:914-288-0083
Practice Address - Street 1:350 TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1463
Practice Address - Country:US
Practice Address - Phone:914-288-0003
Practice Address - Fax:914-288-0083
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052087-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist