Individual
DERYL FREEMAN COOLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4440 E MAIN ST, MESA, AZ 85205-7902
(480) 218-8573
Mailing address
4440 E MAIN ST, MESA, AZ 85205-7902
(480) 218-8573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020009
AZ
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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