Provider Demographics
NPI:1063620078
Name:O'SHEA-BULMAN, MARLA JANE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:JANE
Last Name:O'SHEA-BULMAN
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 1:15 FORT HILL RD
Mailing Address - Street 2:
Mailing Address - City:HAYDENVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01039-9736
Mailing Address - Country:US
Mailing Address - Phone:413-478-0386
Mailing Address - Fax:
Practice Address - Street 1:15 FORT HILL RD
Practice Address - Street 2:
Practice Address - City:HAYDENVILLE
Practice Address - State:MA
Practice Address - Zip Code:01039-9736
Practice Address - Country:US
Practice Address - Phone:413-268-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222051835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy