Individual
DEREK BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 W 95TH ST, OVERLAND PARK, KS 66212-3220
(913) 894-2079
(913) 888-8472
Mailing address
8501 W 95TH ST, OVERLAND PARK, KS 66212-3220
(913) 894-2079
(913) 888-8472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14206
KS
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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