Individual
DEREK EUGENE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3666 STARBURST CT, MULBERRY, FL 33860-8526
(863) 581-9308
Mailing address
3666 STARBURST CT, MULBERRY, FL 33860-8526
(863) 581-9308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38892
FL
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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