Individual
DR. DEREK JEROME COLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1971 GOVERNMENT ST, MOBILE, AL 36606-1628
(251) 479-9439
Mailing address
1662 LONGWOOD RD., MOBILE, AL 36609
(251) 414-9908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13891
AL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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