MR. Justin Russell Dorotheo, PHARMD

NPI #1275990640 in Winslow, Arizona

Provider Information

NPI Number: 1275990640
Entity Type: Individual
Name: MR. Justin Russell Dorotheo, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 15, 2016
Last Updated: Jun 12, 2018

Practice Location

Address: WINSLOW INDIAN HEALTHCARE CENTER (PHARMACY DEPT.)
Address 2: 500 INDIANA AVE
City: Winslow
State: Arizona
ZIP Code: 86047-7403
Phone: (928) 289-6215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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