Katherine Michelle Derickson, PHARM.D.

NPI #1558702050 in O Fallon, Missouri

Provider Information

NPI Number: 1558702050
Entity Type: Individual
Name: Katherine Michelle Derickson, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Jul 12, 2013
Last Updated: Jul 12, 2013

Practice Location

Address: 247 PHEASANT POINT BLVD
City: O Fallon
State: Missouri
ZIP Code: 63368-7311
Phone: (314) 409-1453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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