Individual
DR. BARRY JASON DERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
615 MILLER CV, BENTON, AR 72019-2399
(501) 776-0021
Mailing address
615 MILLER CV, BENTON, AR 72019-2399
(501) 776-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08477
AR
Other
Enumeration date
05/31/2009
Last updated
05/31/2009
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