Individual
ANDRES E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2055 N PERRIS BLVD, SUITE A1, PERRIS, CA 92571
(951) 943-8188
(951) 943-8199
Mailing address
2055 N PERRIS BLVD, SUITE A1, PERRIS, CA 92571
(951) 943-8188
(951) 943-8199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH36435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH36435
CA STATE BOARD OF PHCY
CA
Enumeration date
10/12/2006
Last updated
02/11/2008
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