Individual
DESTA KAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 S STATE ST, DOVER, DE 19901-6927
(302) 730-1170
(302) 730-8471
Mailing address
1215 S STATE ST, DOVER, DE 19901-6927
(302) 730-1170
(302) 730-8471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0004516
DE
Other
Enumeration date
03/11/2011
Last updated
08/28/2020
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