Individual
HEATHER MILLS DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 MAIN ST, WAILUKU, HI 96793-1900
(808) 244-9099
Mailing address
1900 MAIN ST, WAILUKU, HI 96793-1900
(808) 244-9099
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
2078
HI
1835P2201X
Ambulatory Care Pharmacist
PH-2078
HI
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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