Derek Staradub I
NPI #1013637479 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1013637479
- Entity Type
- Individual
- Name
- Derek Staradub I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 29, 2022
- Last Updated
- Aug 29, 2022
Practice Location
- Address
- 53 HOOKSETT RD
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03104-2601
- Phone
- (603) 623-1135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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