Individual
DR. JARED DEROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
117A VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-6363
Mailing address
117A VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-6363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26482
NC
183500000X
Pharmacist
Primary
I062106-1
NY
Other
Enumeration date
08/22/2016
Last updated
07/21/2022
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