Individual
DR. DAVID DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHAMD
Contact information
Practice address
104 W MAIN ST, HOMINY, OK 74035-1032
(918) 885-2715
Mailing address
104 W MAIN ST, HOMINY, OK 74035-1032
(918) 885-2715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15238
OK
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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