Individual
DENISE G. DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4079 AUGUSTA HIGHWAY, SUITE A, GILBERT, SC 29054
(803) 892-6789
Mailing address
2320 RIDGE RD, LEESVILLE, SC 29070-8013
(803) 604-9115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9699
SC
Other
Enumeration date
10/24/2011
Last updated
05/15/2020
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