Destino, Kimberly
Destino, Kimberly is an sole proprietor health care provider with primary practice located at 525 Division St , North Tonawanda NY 14120-4403. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Destino, Kimberly can be contacted via phone (716) 694-3138.Contact Information
Primary practice address
525 Division St
North Tonawanda NY 14120-4403
Phone: (716) 694-3138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 33334 | New York |
Profile Details
| NPI number | 1508991381 |
|---|---|
| LBN Legal business name | Destino, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508991381 | NPPES |
| New York | Other | 33334 | LISCENSE NUMBER |
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