Individual
DR. DERRICK CLINTON HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-4509
Mailing address
210 MARIE LANGDON DR, C/O: PHARMACY, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-4509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017973
KY
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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