Individual
MS. MANISA BULSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
90 VANDENBERG DR, 66 MDS, HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2577
Mailing address
90 VANDENBERG DR, 66 MDS, HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2577
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH233052
MA
Other
Enumeration date
09/17/2010
Last updated
04/11/2012
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