Individual
DOROTHY DEREMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
325 W APACHE TRL, APACHE JUNCTION, AZ 85120-3954
(480) 983-1129
Mailing address
4350 E FAIRBROOK CIR, MESA, AZ 85205-5103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013896
AZ
Other
Enumeration date
05/07/2014
Last updated
05/23/2015
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