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NPI Code Detail

MEDICARE: KAYLA CASSADA PHARM.D.

MEDICARE: KAYLA CASSADA PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistA1-0005005DE

General Provider Information

NPI Number : 1871041814
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA CASSADA PHARM.D.
Provider Business Mailing Address
First Line : 1508 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1508 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-1826
Country : US
Telephone Number : 302-246-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 09/20/2016

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Directions to “ KAYLA CASSADA PHARM.D.” Practice Location

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