Individual
MR. DERYCK JOSEPHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
804 W BLOOMINGDALE AVE, SUITE 1-4, BRANDON, FL 33511-7778
(813) 689-9489
(813) 651-0284
Mailing address
804 W BLOOMINGDALE AVE, SUITE 1-4, BRANDON, FL 33511-7778
(813) 689-9489
(813) 651-0284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 26844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS 26844
STATE OF FLORIDA DOH
FL
Enumeration date
04/21/2014
Last updated
04/21/2014
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