Individual
SIDNEY LEROY DOMIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
209 S NEVADA AVE, COLORADO SPRINGS, CO 80903-1906
(719) 633-2762
(719) 575-9406
Mailing address
145 CALLE DEL SOL, PO BOX 656, FLORISSANT, CO 80816-9012
(719) 748-7389
(719) 575-9406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10669
CO
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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