Individual
MRS. ERLINDA MANGUNE BULACLAC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7294
Mailing address
4329 MUNFORD LN, CHESAPEAKE, VA 23321-4394
(757) 484-4471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8858
SC
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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