Individual provider · Type 1 NPI

Dereck Realejo

Pharmacist · New London, CT

NPI number 1003270125 Active

Practice location

817 Bank St
New London, CT 06320

Call (860) 443-5359 Map

Fax (860) 440-3336

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13436 (CT)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003270125

Dereck Realejo's National Provider Identifier is 1003270125, issued on Apr 6, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in New London, CT. The record was last updated on Apr 6, 2016.