Individual
DOMINIC CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
JAMESON CRANE SPORTS MEDICINE INSTITUTE PHARMACY, 2835 FRED TAYLOR DRIVE, COLUMBUS, OH 43202
(614) 366-0099
Mailing address
JAMESON CRANE SPORTS MEDICINE INSTITUTE PHARMACY, 2835 FRED TAYLOR DRIVE, COLUMBUS, OH 43202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03331153
OH
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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