Nicole Michelle Derry

NPI #1295234714 in Altamont, New York

Provider Information

NPI Number: 1295234714
Entity Type: Individual
Name: Nicole Michelle Derry
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 10, 2018
Last Updated: Feb 10, 2018

Practice Location

Address: 293 OLD STAGE RD
City: Altamont
State: New York
ZIP Code: 12009-3308
Phone: (518) 256-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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