Individual
MR. DEREK JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 W BROADWAY, LINCOLN, ME 04457-1247
(207) 794-3344
Mailing address
2 W BROADWAY, LINCOLN, ME 04457-1247
(207) 794-3344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5765
ME
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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