Individual
DR. MEGAN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D, RPH
Contact information
Practice address
21 STANHOPE ST, BOSTON, MA 02116-5111
(617) 375-7969
Mailing address
21-23 STANHOPE ST, BOSTON, MA 02116
(201) 220-8444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233904
MA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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