Provider Demographics
NPI:1851800973
Name:WALIJI-BANGLAWALA, ALIFIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALIFIA
Middle Name:
Last Name:WALIJI-BANGLAWALA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALIFIA
Other - Middle Name:
Other - Last Name:WALIJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:333 WYMAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1272
Mailing Address - Country:US
Mailing Address - Phone:781-373-6611
Mailing Address - Fax:
Practice Address - Street 1:333 WYMAN ST STE 100
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1272
Practice Address - Country:US
Practice Address - Phone:781-373-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS406561835P1200X
MAPH2324251835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy