Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK CANNISTRARO
Active Sole ProprietorPharmacist · HARWICH, MA
Registration Details
- NPI Number
- 1790381952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2020 (5.3979205394516 yrs)
- Last Updated
- Dec 11, 2020
- License
-
PH24114 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 ROUTE 137HARWICH, MA, 026452165Browse MA providers · Browse ZIP 02645
- Phone
- 5084325001
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in HARWICH, MA
| Name | Credential | NPI |
|---|---|---|
| IAN COOPER | PHARMD | 1821692104 |
| JUSTIN MORGAN | — | 1164027611 |
| MAUREEN FLYNN LYNCH | — | 1033715313 |
| DR. JUSTIN MOAZZAMI | PHARMD | 1649049164 |
| YOOJIN HAN | RPH | 1891665444 |
| DANI SCHECHTER | — | 1093673055 |
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.