Individual provider · Type 1 NPI

Mina Shelby Manivong, PharmD, RPH

Pharmacist · Lithia, FL

NPI number 1962309872 Active

Practice location

5605 Fishhawk Crossing Blvd
Lithia, FL 33547-5901

Fax (813) 661-9485

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	PS71510 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1962309872

Mina Shelby Manivong, PharmD, RPH's National Provider Identifier is 1962309872, issued on Oct 23, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lithia, FL. The record was last updated on Oct 23, 2026.