Derek Cannistraro

NPI #1790381952 in Harwich, Massachusetts

Provider Information

NPI Number: 1790381952
Entity Type: Individual
Name: Derek Cannistraro
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 111 ROUTE 137
City: Harwich
State: Massachusetts
ZIP Code: 02645-2165
Phone: (508) 432-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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