Individual
DR. DEREK KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1631 DUAL HWY, HAGERSTOWN, MD 21740-6545
(240) 313-9165
Mailing address
4805 EUGENE WAY, FREDERICK, MD 21703-4801
(240) 593-8723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25963
MD
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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