Individual
DR. DEREK DANIEL HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 HIGHWAY 45 N, COLUMBUS, MS 39705-2118
(662) 328-0747
Mailing address
1720 HIGHWAY 45 N, COLUMBUS, MS 39705-2118
(662) 328-0747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P12691
MS
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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