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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK DISTASIO

Active Sole Proprietor

DEREK DISTASIO is a Pharmacist healthcare provider located in WEST NORRITON, Pennsylvania. NPI 1386464568 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · WEST NORRITON, PA

Registration Details

NPI Number
1386464568
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2024 (1.8159956525856 yrs)
Last Updated
Oct 14, 2024
License
RH459005 (PA)
Sole Proprietor
Yes

Practice Information

Address
2500 BOULEVARD OF THE GENERALS
WEST NORRITON, PA, 194033692
Browse PA providers · Browse ZIP 19403
Phone
6105395093
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in WEST NORRITON, PA

Name Credential NPI
DR. BRITTANY M LACY PHARMD 1376267997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.