Desta, Bethel G

Desta, Bethel G is an individual health care provider with primary practice located at 17425 Denali Pl , Dumfries VA 22025-1967. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Desta, Bethel G can be contacted via phone (703) 225-8655.

Contact Information

Primary practice address
17425 Denali Pl Dumfries VA 22025-1967
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202208257 Virginia

Profile Details

NPI number 1467839092
LBN Legal business name Desta, Bethel G
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated May 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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