Individual
MR. GARY DEAN DOMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1305 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2214
(218) 847-9755
(218) 847-9456
Mailing address
1305 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2214
(218) 847-9755
(218) 847-9456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115516
MN
183500000X
Pharmacist
4071
ND
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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