Individual
DR. AILEEN E DEREVERE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
26622 TORREYPINES DR, NEWHALL, CA 91321-2237
(661) 252-5880
Mailing address
26622 TORREYPINES DR, NEWHALL, CA 91321-2237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31006
CA
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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