Ethel Fomundam

NPI #1487244380 in New Castle, Delaware

Provider Information

NPI Number: 1487244380
Entity Type: Individual
Name: Ethel Fomundam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 25, 2021
Last Updated: Jan 25, 2021

Practice Location

Address: 198 S DUPONT HWY
City: New Castle
State: Delaware
ZIP Code: 19720-4149
Phone: (302) 893-0258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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