Derek Josephus Leiter

NPI 1689905457 - Pharmacist - 183500000X

NPI Details
NPI 1689905457
Gender Male
Enumeration Date 01/19/2010
Last Updated 01/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
16415 E PALISADES BLVD
FOUNTAIN HILLS AZ, 85268, US
Phone (480) 837-6748
Fax
Business Location
9097 E JANICE WAY
SCOTTSDALE AZ, 85260, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arizona
License Number S014852
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According to our database, Derek Josephus Leiter NPI is 1689905457, taxonomy code is 183500000X and license number is S014852, license state is located at Arizona. Derek Josephus Leiter physically located at 16415 E Palisades Blvd, Fountain Hills AZ, 85268. NPI Number Derek Josephus Leiter has the Individual type.

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1689905457 NPI number is provided on an as is basis without warranty of any kind. 1689905457 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Josephus Leiter are for informational purposes only.