Individual
NITA KETAN BULSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
245 AMITY RD STE 111, WOODBRIDGE, CT 06525-2288
(203) 298-4338
Mailing address
42 ACORN DR, BETHANY, CT 06524-3383
(919) 672-2559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011870
CT
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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