Adam Derue, RPH

NPI #1861715781 in Ithaca, New York

Provider Information

NPI Number: 1861715781
Entity Type: Individual
Name: Adam Derue, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 5, 2010
Last Updated: Mar 5, 2010

Practice Location

Address: 500 S MEADOW DRIVE
City: Ithaca
State: New York
ZIP Code: 14850-5317
Phone: (607) 277-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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