Individual
AMY LEE DISABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S DUPONT BLVD STE 2, SMYRNA, DE 19977-1549
(302) 653-9355
Mailing address
31 SHAWN LN, BEAR, DE 19701-6334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0002840
DE
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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