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NPI Code Detail

MEDICARE: DEREK DINH PHARM.D

MEDICARE:   DEREK  DINH  PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist47369CA

General Provider Information

NPI Number : 1104194943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK DINH PHARM.D
Provider Business Mailing Address
First Line : 2627 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2610
Country : US
Telephone Number : 562-490-9575
Fax Number : 562-490-2896
Provider Business Practice Location Address
First Line : 2627 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2610
Country : US
Telephone Number : 562-490-9575
Fax Number : 562-490-2896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2011
Last Update Date : 12/08/2011

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Directions to “ DEREK DINH PHARM.D” Practice Location

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