Individual
MARIAMAWIT DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12597 E MISSISSIPPI AVE UNIT 300, AURORA, CO 80012-3460
(303) 479-3864
(303) 479-3863
Mailing address
1755 S BEELER ST UNIT 5J, DENVER, CO 80247-2904
(678) 755-5601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19218
CO
Other
Enumeration date
09/19/2013
Last updated
12/08/2020
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