Individual
CHRISTOPHER DERYCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2000 S MILL AVE, TEMPE, AZ 85282-2128
(480) 921-8013
Mailing address
2000 S MILL AVE, TEMPE, AZ 85282-2128
(480) 921-8013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022221
AZ
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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