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1548796667
KAHSU DESTA
TUBA CITY, AZ
NPI
1548796667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 26414)
Enumeration Date
2017-05-10
Last Update Date
2022-07-21
Business Address
-- KAHSU DESTA Pharm D
167 NORTH MAIN ST
TUBA CITY, AZ 86045
Phone number: 910-808-7563
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Mailing Address
-- KAHSU DESTA Pharm D
2021 N COUNTRY CLUB DR
FLAGSTAFF, AZ 86004-7468
Phone number: 910-808-7563
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