Individual
MR. KENNETH JOHN MUSTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 S MAIN ST, SUITE 104, SMYRNA, DE 19977-1477
(302) 653-9355
Mailing address
PO BOX 1, SMYRNA, DE 19977-0001
(302) 653-1653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0002433
DE
Other
Enumeration date
03/08/2007
Last updated
12/14/2011
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