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Individual

DR. AUTUMN S DOMINGEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D, RPH

Contact information

Practice address
1903 W FLORIDA ST, GREENSBORO, NC 27403-3362
(336) 294-0936
(336) 834-9426
Mailing address
1903 W FLORIDA ST, GREENSBORO, NC 27403-3362
(336) 294-0936
(336) 834-9426

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18634
NC
183500000X
Pharmacist
Primary
RP441108
PA
183500000X
Pharmacist
RPH03230864-2
OH

Other

Enumeration date
07/14/2011
Last updated
07/14/2011
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