Individual
DAVID DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
762 CHESTER PIKE, PROSPECT PARK, PA 19076-1603
(610) 461-8852
Mailing address
762 CHESTER PIKE, PROSPECT PARK, PA 19076-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP043592L
PA
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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