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1467839092
BETHEL G DESTA
DUMFRIES, VA
NPI
1467839092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202208257)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
-- BETHEL G DESTA PharmD
17425 DENALI PL
DUMFRIES, VA 22025-1967
Phone number: 703-225-8655
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Mailing Address
-- BETHEL G DESTA PharmD
3700 FETTLER PARK DR
DUMFRIES, VA 22025-2050
Phone number: 703-441-7500
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