Individual
JENNIFER MARIE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
232 MAIN ST, GARDNER, MA 01440-2927
(978) 630-2808
(978) 630-2065
Mailing address
10 ELMWOOD RD, WINCHENDON, MA 01475-1211
(978) 297-1729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24511
MA
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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