Individual
DERRICK J KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2640 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3709
(215) 291-8315
Mailing address
2640 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3709
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
06/08/2023
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