Individual
DERIK C CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(208) 552-2098
Mailing address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(208) 552-2098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7074
ID
Other
Enumeration date
09/16/2014
Last updated
03/30/2016
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