Dereck Realejo
NPI #1003270125 in New London, Connecticut
Provider Information
- NPI Number
- 1003270125
- Entity Type
- Individual
- Name
- Dereck Realejo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 817 BANK ST
- City
- New London
- State
- Connecticut
- ZIP Code
- 06320
- Phone
- (860) 443-5359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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