Individual
DANA ISOBEL A STA ANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7520 CITY LINE AVE, PHILADELPHIA, PA 19151-2101
(215) 477-8401
Mailing address
3812 MARY ST, DREXEL HILL, PA 19026-2720
(267) 371-2102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454935
PA
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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