Derek T Hettinger

NPI #1548723729 in Lamar, Colorado

Provider Information

NPI Number: 1548723729
Entity Type: Individual
Name: Derek T Hettinger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 13, 2019
Last Updated: Apr 13, 2019

Practice Location

Address: 1432 E OLIVE ST
City: Lamar
State: Colorado
ZIP Code: 81052-2958
Phone: (719) 336-0541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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