NPI 1013637479

Derek Staradub

Practitioner Pharmacist Manchester, NH

Practice location

Address: 53 Hooksett Rd, Manchester, NH 03104-2601
Phone: (603) 623-1135
Mailing address: 8 Blackstone CT, Merrimack, NH 03054-3451

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PHCY-01388 (NH)

Other Pharmacist providers in New Hampshire →

Registry record

NPI: 1013637479
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2022
Record last updated: 29 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.