Individual
KRISTEN DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2809 BOSTON ST, BALTIMORE, MD 21224-4814
(724) 972-3123
Mailing address
9760 BARNES LAKE RD, NORTH HUNTINGDON, PA 15642-3135
(724) 972-3123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20856
MD
Other
Enumeration date
09/26/2013
Last updated
04/16/2014
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