Individual
DR. DEAN EDGAR DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4751 ONONDAGA BLVD, SYRACUSE, NY 13219-3315
(315) 380-2701
Mailing address
4751 ONONDAGA BLVD, SYRACUSE, NY 13219-3315
(315) 380-2701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054672
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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