Individual
DERRICK MICHAEL ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 CREEKSIDE RD, AMELIA, OH 45102-1771
(603) 312-5874
Mailing address
1535 CREEKSIDE RD, AMELIA, OH 45102-1771
(603) 312-5874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439682
OH
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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