Individual
ALLISON NICOLE DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
339 E MAPLE ST, SUITE 100, NORTH CANTON, OH 44720-2593
(330) 498-8123
Mailing address
339 E MAPLE ST, SUITE 100, NORTH CANTON, OH 44720-2593
(330) 498-8123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-21234
OH
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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