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Individual
DR. JENNIFER DOMZALSKI
Active
Individual
DR. JENNIFER DOMZALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP046175L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP046175L
PHARMACY LICENSE
PA
01
—
RPI008265
ADMINISTER INJECTABLES
PA
Enumeration date
08/07/2020
Last updated
08/07/2020
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