Individual
MR. R. FERRIS DERBIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1492 W ANTELOPE DR STE 150, LAYTON, UT 84041-1137
(801) 779-7820
Mailing address
440 E CHASE LN, CENTERVILLE, UT 84014-1626
(801) 444-9707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153191-1701
UT
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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