Individual
DEREK DRASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
622 SW ALDER ST, PORTLAND, OR 97205-3616
(512) 627-7151
Mailing address
622 SW ALDER ST, PORTLAND, OR 97205-3616
(512) 627-7151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
55604
TX
183500000X
Pharmacist
Primary
RPH-0014438
OR
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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