Individual
DOMINIC SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12165 HIGHWAY 92, WOODSTOCK, GA 30188-4298
(770) 517-1600
Mailing address
506 SCENIC WAY, WOODSTOCK, GA 30189-1563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029458
GA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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