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Diana O Ajala

Pharmacist in Philadelphia, PA. Individual provider (NPI-1).

NPI number1033714902
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1033714902
Entity type
Individual (NPI-1)
Name
Diana O Ajala
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2020
Certification date
Nov 30, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP454751PAYes

Practice location

1051 South St
Philadelphia, PA 19147-1910

Phone 215-829-0670

Mailing address

1051 South St
Philadelphia, PA 19147-1910

Phone 215-829-0670

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