Negatu B Desta Valid NPI
Individual provider · Community/Retail Pharmacy · Indianapolis, IN
- NPI
- 1427931096
- Type
- Individual (Type 1)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 26031170A (IN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2025-07-30
- Last updated
- 2025-07-30
Practice location
4401 E 10th St
Indianapolis, IN 46201-2744
(317) 460-9647