Individual
DR. DEREK COMMODORE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
2700 W BASELINE RD, TEMPE, AZ 85283-1072
(602) 438-2807
(602) 431-9592
Mailing address
2700 W BASELINE RD, TEMPE, AZ 85283-1072
(602) 438-2807
(602) 431-9592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00007153
NM
183500000X
Pharmacist
Primary
S016659
AZ
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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