MR. Mark Stephen Dominik, R.PH.

NPI #1720080757 in New Bremen, Ohio

Provider Information

NPI Number: 1720080757
Entity Type: Individual
Name: MR. Mark Stephen Dominik, R.PH.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2 N WASHINGTON ST
City: New Bremen
State: Ohio
ZIP Code: 45869-1113
Phone: (419) 629-2336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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