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Individual

DOMINIC HERRMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1395D WESTERN BLVD, JACKSONVILLE, NC 28546-6663
(937) 910-6639
Mailing address
72 ACADIAN LOOP APT 305, HAMPSTEAD, NC 28443-0197
(615) 477-0267

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23960
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/14/2018
Last updated
03/17/2020
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