Individual
ANDREW JOSEPH DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
57 W 29TH AVE, EUGENE, OR 97405-3242
(541) 342-7648
Mailing address
57 W 29TH AVE, EUGENE, OR 97405-3242
(541) 342-7648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0017063
OR
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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