Individual
DR. JESSICA A DOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1955 E MAIN ST, DOTHAN, AL 36301-3015
(334) 794-7798
Mailing address
302 RED DIRT RD, ENTERPRISE, AL 36330-9418
(770) 876-9854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17191
AL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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