DR. Derek Tea

NPI #1922697085 in Laveen, Arizona

Provider Information

NPI Number: 1922697085
Entity Type: Individual
Name: DR. Derek Tea
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 13, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 5115 W BASELINE RD
City: Laveen
State: Arizona
ZIP Code: 85339-3000
Phone: (602) 283-1603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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