Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manisha Mudaliar

Individual provider Pharmacy Technician · NPI 1366112146

Manisha Mudaliar is a Pharmacy Technician in Tracy, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1970 W Grant Line Rd
Tracy, CA 95376-8812
Phone: (209) 830-7388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 599 East Valpico Rd, Tracy, CA 95376 — (209) 830-0976

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 103955 (CA)

Record details

NPI number1366112146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address659 N San Marcos Dr, Mountain House, CA 95391-1236

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