Dominguez Pharmacy LP

NPI #1336373646 in Lake Elsinore, California

Provider Information

NPI Number
1336373646
Entity Type
Organization
Organization Name
Dominguez Pharmacy LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 14, 2009
Last Updated
Dec 3, 2010

Practice Location

Address
31739 RIVERSIDE DR
ZIP Code
92530-7818
Phone
(951) 674-4600

Authorized Official

Name
ANDRES DOMINGUEZ
Title
GENERAL PARTNER
Phone
(951) 943-8188

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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