Provider Demographics
NPI:1952906752
Name:MULIRA, RITA (RPH)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:MULIRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-5801
Mailing Address - Country:US
Mailing Address - Phone:781-237-2520
Mailing Address - Fax:
Practice Address - Street 1:65 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-5801
Practice Address - Country:US
Practice Address - Phone:781-237-2520
Practice Address - Fax:781-237-0425
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH25916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist