Cannistraro, Derek

Cannistraro, Derek is an sole proprietor health care provider with primary practice located at 111 Route 137 , Harwich MA 02645-2165. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cannistraro, Derek can be contacted via phone (508) 432-5001.

Contact Information

Primary practice address
111 Route 137 Harwich MA 02645-2165
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH24114 Massachusetts

Profile Details

NPI number 1790381952
LBN Legal business name Cannistraro, Derek
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2020
Last updated Dec 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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