Individual
DEREK JOSEPHUS LEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16415 E PALISADES BLVD, FOUNTAIN HILLS, AZ 85268
(480) 837-6748
Mailing address
9097 E JANICE WAY, SCOTTSDALE, AZ 85260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014852
AZ
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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