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Individual

ETHEL FOMUNDAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
198 S DUPONT HWY, NEW CASTLE, DE 19720-4149
(302) 893-0258
Mailing address
198 S DUPONT HWY, NEW CASTLE, DE 19720-4149
(302) 893-0258

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A10005150
DE

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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