# DR. AUTUMN S DOMINGEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699063438
- **Gender:** F
- **Credential:** PHARM D, RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 18634 | NC | — |
| 183500000X | Pharmacist | RP441108 | PA | Yes |
| 183500000X | Pharmacist | RPH03230864-2 | OH | — |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 07/14/2011