Derek Tea

Pharmacist · Laveen, AZ

Individual Active NPI

NPI number 1922697085

Practice location

5115 W Baseline Rd
Laveen, AZ 85339-3000
Phone
(602) 283-1603

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NPI record

NPI
1922697085
Entity type
Individual (Type 1)
Enumeration date
January 13, 2021
Last updated
January 20, 2021
Certified
January 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X S024816 AZ

Mailing address

5151 N 16TH St Apt 4038
Phoenix, AZ 85016-3817
Phone
(562) 685-1927

About Derek Tea

Derek Tea is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 5115 W Baseline Rd, Laveen, AZ 85339-3000. The NPI number 1922697085 was assigned on January 13, 2021 and the record was last updated on January 20, 2021.

Derek Tea lists a license in the registry: #S024816 (AZ) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Tea?

The NPI number is 1922697085.

What is the phone number of Derek Tea?

The phone number listed for the practice location is (602) 283-1603.

Where is Derek Tea located?

5115 W Baseline Rd, Laveen, AZ 85339-3000.

What is the taxonomy code for Derek Tea?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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