Individual
DR. DEREK PUHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2498 2ND LOOP RD, FLORENCE, SC 29501-6162
(843) 317-1233
Mailing address
2370 FREEDOM BLVD, APT B2, FLORENCE, SC 29505-6098
(724) 650-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36830
SC
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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