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Individual

DR. DEREK RYAN DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1815 9TH AVE N, BESSEMER, AL 35020-3421
(205) 425-1757
Mailing address
206 SHADES CREST RD, BIRMINGHAM, AL 35226-1006
(859) 420-3332

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16157
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147893
NABP
AL
Enumeration date
11/28/2011
Last updated
11/28/2011
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