David Derosa

NPI #1114330081 in Prospect Park, Pennsylvania

Provider Information

NPI Number: 1114330081
Entity Type: Individual
Name: David Derosa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jun 8, 2014
Last Updated: Jun 8, 2014

Practice Location

Address: 762 CHESTER PIKE
City: Prospect Park
State: Pennsylvania
ZIP Code: 19076-1603
Phone: (610) 461-8852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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