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Individual

MR. DOMINICK DEPOLO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
NAVAL MEDICAL CENTER PORTSMOUTH PHARMACY DEPARTMENT, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-7295
Mailing address
4704 CONDOR DR, CHESAPEAKE, VA 23321-1323
(757) 465-1275

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202001676
VA
183500000X
Pharmacist
RP-026616-L
PA
183500000X
Pharmacist
RP00002746
WV

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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