Individual
DIWAY BERMUDEZ SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
1501 N 2ND ST UNIT 1A, PHILADELPHIA, PA 19122-3846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451745
PA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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