Individual
HEATHER DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE IHS HOSPITAL, PINE RIDGE, SD 57770
(605) 867-3192
(605) 867-3279
Mailing address
719 KING ST, CHADRON, NE 69337-2625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP444040
PA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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