Derek Josephus Leiter

NPI #1689905457 in Fountain Hills, Arizona

Provider Information

NPI Number: 1689905457
Entity Type: Individual
Name: Derek Josephus Leiter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 16415 E PALISADES BLVD
City: Fountain Hills
State: Arizona
ZIP Code: 85268
Phone: (480) 837-6748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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