KAHSU DESTA

TUBA CITY, AZ
NPI1548796667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  26414)
Enumeration Date2017-05-10
Last Update Date2022-07-21
Business Address
KAHSU DESTA PHARM D
167 NORTH MAIN ST
TUBA CITY, AZ 86045
Phone number: 910-808-7563
Mailing Address
KAHSU DESTA PHARM D
2021 N COUNTRY CLUB DR
FLAGSTAFF, AZ 86004-7468
Phone number: 910-808-7563