Provider Demographics
NPI:1841434081
Name:MANSU, NILKARY (PHARMD)
Entity type:Individual
Prefix:
First Name:NILKARY
Middle Name:
Last Name:MANSU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 BRITTON PL
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-5470
Mailing Address - Country:US
Mailing Address - Phone:916-508-5279
Mailing Address - Fax:916-564-1534
Practice Address - Street 1:1006 4TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-3314
Practice Address - Country:US
Practice Address - Phone:916-508-5279
Practice Address - Fax:916-440-1233
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA558851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist