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Individual

DEREK PALISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
Mailing address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009018209
MO

Other

Enumeration date
10/04/2011
Last updated
01/14/2021
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