Individual
DERICK MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2301 HOLMES ST, DEPARTMENT OF PHARMACY, KANSAS CITY, MO 64108-2640
(816) 404-4168
Mailing address
2301 HOLMES ST, DEPARTMENT OF PHARMACY, KANSAS CITY, MO 64108-2640
(816) 404-4168
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
2011026603
MO
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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