DR. Derek Gyllenhammer

NPI #1245788157 in Suffield, Connecticut

Provider Information

NPI Number: 1245788157
Entity Type: Individual
Name: DR. Derek Gyllenhammer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 20, 2016
Last Updated: Sep 20, 2016

Practice Location

Address: 163 MOUNTAIN RD
City: Suffield
State: Connecticut
ZIP Code: 06078-2005
Phone: (860) 668-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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