Individual
ANDREA DOMINIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1982 OLD MISSION DR, SOLVANG, CA 93463-2304
(805) 691-6139
Mailing address
1982 OLD MISSION DR, SOLVANG, CA 93463-2304
(805) 691-6139
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
35942
CA
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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