Individual
DR. DERICK MCELVEEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2405 MAYPORT RD, ATLANTIC BEACH, FL 32233-6390
(904) 254-7209
Mailing address
11957 DIAMOND SPRINGS DR, JACKSONVILLE, FL 32246-0595
(904) 254-7209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS455532
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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