Individual
DOMINIQUE LAFORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
25 OAK ST EXT, BROCKTON, MA 02301-1110
(508) 897-1739
(508) 897-1752
Mailing address
25 OAK ST EXT, BROCKTON, MA 02301-1110
(508) 897-1739
(508) 897-1752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23838
MA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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