Individual
CASEY DERDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7221 NORMANDY BLVD, JACKSONVILLE, FL 32205-6260
(904) 783-1109
Mailing address
10135 GATE PKWY N APT 713, JACKSONVILLE, FL 32246-8260
(401) 714-1786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS69485
FL
183700000X
Pharmacy Technician
PSI47735
FL
Other
Enumeration date
07/03/2025
Last updated
09/11/2025
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