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1891169850
BRIAN DERK
DANVILLE, PA
NPI
1891169850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP041680l)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- BRIAN DERK
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6451
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Mailing Address
-- BRIAN DERK
142 BUTTERNUT LN
ELYSBURG, PA 17824-7206
Phone number:
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