Individual
DR. LUCAS DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6480 TECHNOLOGY AVE STE A, KALAMAZOO, MI 49009-8116
(269) 250-8003
Mailing address
6480 TECHNOLOGY AVE STE A, KALAMAZOO, MI 49009-8116
(269) 250-8003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040763
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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