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1164844601
DERICK YOUNG
PHOENIX, AZ
NPI
1164844601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s019606)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- DERICK YOUNG
6145 N 35TH AVE
PHOENIX, AZ 85017-1940
Phone number: 602-973-6561
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Mailing Address
-- DERICK YOUNG
18330 N 79TH AVE APT 2066
GLENDALE, AZ 85308-8351
Phone number: 630-205-4840
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