Individual
DOMINIC CERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM BS
Contact information
Practice address
681 IMIHALE ST, KIHEI, HI 96753-6057
(949) 235-6951
Mailing address
681 IMIHALE ST, KIHEI, HI 96753-6057
(949) 235-6951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44776
CA
183500000X
Pharmacist
Primary
PH 3951
HI
183500000X
Pharmacist
RP0356691
PA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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