Individual
DR. DEREK KEITH ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
15 GLENN BRIDGE RD STE A, ARDEN, NC 28704-8481
(828) 585-2034
(855) 782-5622
Mailing address
15 GLENN BRIDGE RD STE A, ARDEN, NC 28704-8481
(828) 585-2034
(855) 782-5622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19901
NC
183500000X
Pharmacist
35888
SC
183500000X
Pharmacist
40092
TN
183500000X
Pharmacist
RP0007830
WV
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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