Katherine Michelle Derickson, PHARM.D. Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1558702050
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2013024758 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Practice location
247 Pheasant Point Blvd
O Fallon, MO 63368-7311
(314) 409-1453