National Provider Identifier
Edward A Derck, DOCTORATE OF PHARMAC
Edward A Derck, DOCTORATE OF PHARMAC is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 275-5212.
Profile Overview
- NPI
- 1124451885
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 16, 2013
- Last Updated
- August 16, 2013
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-5212
Mailing Address
- 336 Vollmer Pkwy
- Rochester, NY 14623-5250
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1124451885
- Entity Type
- Individual
- Last Name
- Derck
- First Name
- Edward
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- DOCTORATE OF PHARMAC
- Mailing Street Address
- 336 Vollmer Pkwy
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5250
- Mailing Country
- US
- Mailing Phone
- (585) 857-6834
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5212
- Enumeration Date
- August 16, 2013
- Last Updated
- August 16, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)