Individual
DOMINIQUE FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2601 HIGHWAY 90, GAUTIER, MS 39553-5167
(228) 497-8110
Mailing address
3525 VAN CLEAVE DR, MERAUX, LA 70075-8024
(504) 909-3025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E14646
MS
183500000X
Pharmacist
PST. 021620
LA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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