Individual
THOMAS KEMP DEEREN
Active
Individual
THOMAS KEMP DEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S020597
AZ
1835P1200X
Pharmacotherapy Pharmacist
Primary
3154673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S020597
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
05/19/2014
Last updated
06/26/2023
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