Individual
DERRICK M REGALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9449 S HOWELL AVE, OAK CREEK, WI 53154-4431
(414) 764-8980
Mailing address
9449 S HOWELL AVE, OAK CREEK, WI 53154-4431
(414) 764-8980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12173-040
WI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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