Individual provider · Type 1 NPI

Derek Tea

Pharmacist · Laveen, AZ

NPI number 1922697085 Active

Practice location

5115 W Baseline Rd
Laveen, AZ 85339-3000

Mailing address

5151 N 16th St Apt 4038
Phoenix, AZ 85016-3817

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS024816 (AZ)

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 1922697085

Derek Tea's National Provider Identifier is 1922697085, issued on Jan 13, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Laveen, AZ. The record was last updated on Jan 20, 2021.