Individual
DERREK LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
640 MONTGOMERY AVE, NARBERTH, PA 19072-2031
(610) 664-4010
Mailing address
7015 PENNSYLVANIA AVE, UPPER DARBY, PA 19082-3712
(267) 342-4384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP455025
PA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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