Individual
MR. DERRICK BRIAN KIMREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 TIMBER DR, GARNER, NC 27529-4852
(919) 661-9992
Mailing address
790 TIMBER DR, GARNER, NC 27529-4852
(919) 661-9992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12619
NC
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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