Individual
DOUGLAS JOSEPH DERITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
Mailing address
159 SMITH CIR, POINT PLEASANT BORO, NJ 08742-5414
(732) 892-8881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02086000
NJ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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