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Individual
MRS. JUDITH J DERRICK
Active
Individual
MRS. JUDITH J DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033918L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP033918L
PHARMACY LICENCE
PA
01
—
RPI000694
IMMUNIZING PHARMACIST
PA
Enumeration date
12/05/2010
Last updated
02/16/2020
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