Individual
JINESH MUKUNDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S WALNUT ST, WILMINGTON, DE 19801-5286
(302) 225-6888
Mailing address
501 S WALNUT ST, WILMINGTON, DE 19801-5286
(302) 225-6888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003869
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1-0003869
DE PHARMACIST LICENSE NUMBER
DE
Enumeration date
01/26/2010
Last updated
01/26/2010
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