Derderian, James

Derderian, James is an individual health care provider with primary practice located at 100 Broad St , Pawtucket RI 02860. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Derderian, James can be contacted via phone (401) 724-6724.

Contact Information

Primary practice address
100 Broad St Pawtucket RI 02860
Phone: (401) 724-6724
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 04856 Rhode Island
Pharmacy Service Providers / Pharmacist 183500000X 232948 Massachusetts

Profile Details

NPI number 1336424118
LBN Legal business name Derderian, James
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Oct 12th, 2011 - about 14 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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