Individual
DR. FARISHTA MANZOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 522-9149
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 522-9149
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
PCT.0015321
CT
282N00000X
General Acute Care Hospital
Primary
0057
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025185
—
CT
05
—
004041893
—
CT
Enumeration date
06/26/2021
Last updated
10/07/2021
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