Organization
DOMINYEMED CORPORATION
Active
Organization
DOMINYEMED CORPORATION
Active
Other names
City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO X JUAREZ R.PH. (PRESIDENT/DIRECTOR)
(432) 336-2297
Entity
Organization
Contact information
Practice address
202 E AVE E, ALPINE, TX 79830
(432) 837-2252
(432) 837-3152
Mailing address
202 E AVE E, ALPINE, TX 79830
(432) 837-2252
(432) 837-3152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901714
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/27/2010
Last updated
04/12/2021
Update your record
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