Negatu B Desta

NPI #1427931096 in Indianapolis, Indiana

Provider Information

NPI Number
1427931096
Entity Type
Individual
Name
Negatu B Desta
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 30, 2025
Last Updated
Jul 30, 2025

Practice Location

Address
4401 E 10TH ST
State
Indiana
ZIP Code
46201-2744
Phone
(317) 460-9647

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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