Individual
DEREK LANNY BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
705 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1200
(704) 630-0738
Mailing address
705 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1200
(704) 630-0738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12537
NC
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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