Individual
JENNIFER DERBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 736-4923
Mailing address
13413 LOWELL AVE, GRANDVIEW, MO 64030-3150
(913) 669-1166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009025371
MO
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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