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NPI Code Detail

MEDICARE: DERRICK HELON PHARMD

MEDICARE: DERRICK HELON PHARMD
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
1183500000XPharmacistRP444566PA

General Provider Information

NPI Number : 1932429909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DERRICK HELON PHARMD
Provider Business Mailing Address
First Line : 2501 BANKSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-2853
Country : US
Telephone Number : 412-571-2550
Fax Number :
Provider Business Practice Location Address
First Line : 2501 BANKSVILLE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-2853
Country : US
Telephone Number : 412-571-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2010
Last Update Date : 07/26/2012

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