Individual
DEREK STEPHEN KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 N POWER RD, MESA, AZ 85205-3705
(480) 281-2990
(480) 281-2976
Mailing address
1359 W DANISH RED TRL, SAN TAN VALLEY, AZ 85143-5715
(480) 309-3437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026140
AZ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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