Individual
DR. MANJUNATH PRAKASH PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
106 NEW SCOTLAND AVE, OBRIEN RM 204, ACPHS, ALBANY, NY 12208-3425
(518) 694-7146
Mailing address
106 NEW SCOTLAND AVE, OBRIEN RM 204, ACPHS, ALBANY, NY 12208-3425
(518) 694-7146
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051-287468
IL
1835P1200X
Pharmacotherapy Pharmacist
6431
NM
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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