NPI 1083391940

Tyler Derrick, PHARMD

Practitioner Pharmacist Vestavia, AL

Practice location

Address: 3201 Endeavor Ln, Vestavia, AL 35242-8250
Phone: (205) 421-2983
Mailing address: 3318 Boxwood CT, Vestavia Hills, AL 35216-4691

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 23123 (AL)

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Registry record

NPI: 1083391940
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2023
Record last updated: 21 Jul 2023

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.