Individual
DERRICK TYLER EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Mailing address
PO BOX 365, MERIDEN, KS 66512-0365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105880
KS
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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