Individual provider · Type 1 NPI

Derek Staradub I

Pharmacist · Manchester, NH

NPI number 1013637479 Active

Practice location

53 Hooksett Rd
Manchester, NH 03104-2601

Call (603) 623-1135 Map

Mailing address

8 Blackstone Ct
Merrimack, NH 03054-3451

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHCY-01388 (NH)

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 1013637479

Derek Staradub I's National Provider Identifier is 1013637479, issued on Aug 29, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Manchester, NH. The record was last updated on Aug 29, 2022.