Individual
DR. DERICK AGYAPONG YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5415 S BROADWAY AVE, TYLER, TX 75703-1397
(903) 939-9298
Mailing address
2924 N TENNEHA AVE, TYLER, TX 75702-1915
(903) 355-9938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75831
TX
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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