Individual
DEREK LEE DURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Mailing address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9474
ID
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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