Heather Derck R.PH.

NPI 1073799466 - Pharmacist - 183500000X

NPI Details
NPI 1073799466
Gender Female
Enumeration Date 01/15/2008
Last Updated 10/01/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
4154 MCKINLEY PKWY
BLASDELL NY, 14219-2995, US
Phone (716) 926-9044
Fax (716) 926-9028
Business Location
4154 MCKINLEY PKWY
BLASDELL NY, 14219-2995, US
Phone (716) 926-9044
Fax (716) 926-9028
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 020-040650
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According to our database, Heather Derck R.PH. NPI is 1073799466, taxonomy code is 183500000X and license number is 020-040650, license state is located at New York. Heather Derck R.PH. physically located at 4154 Mckinley Pkwy, Blasdell NY, 14219-2995. NPI Number Heather Derck R.PH. has the Individual type.

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1073799466 NPI number is provided on an as is basis without warranty of any kind. 1073799466 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Derck R.PH. are for informational purposes only.