Mark Stephen Dominik in New Bremen - Pharmacist
Mark Stephen Dominik - NPI 1720080757
Mark Stephen Dominik is a Pharmacist in New Bremen, Ohio. Mark Stephen Dominik practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark Stephen Dominik is 1720080757. The last update date is 2007-07-08.
Mark Stephen Dominik's current location address is 2 N Washington St, New Bremen, Ohio. You can contact this provider via phone number 4196292336. The mailing address for Mark Stephen Dominik is 2 N Washington St, New Bremen, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stephen Dominik |
|---|---|
| Address | 2 N Washington St, New Bremen, Ohio |
| Phone Number | 4196292336 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1720080757 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2 N Washington St |
|---|---|
| City | New Bremen |
| State | Ohio (OH) |
| Post Code | 458691113 |
| Phone Number | 4196292336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 4978-03-11 0 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Stephen Dominik by the Centers for Medicare & Medicaid Services?
The Mark Stephen Dominik has been issued the NPI (National Provider Identifier) 1720080757 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Stephen Dominik's facilities are situated?
The facilities of Mark Stephen Dominik are physically located at the following address: 2 N Washington St, New Bremen, OH, 458691113.
What is Mark Stephen Dominik's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Stephen Dominik's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Mark Stephen Dominik receive the assignment of its 1720080757 from the Centers for Medicare & Medicaid Services?
The Mark Stephen Dominik was issued its 1720080757 by the Centers for Medicare & Medicaid Services on 2005-08-10.
As of what date were the details pertaining to Mark Stephen Dominik last refreshed?
The information related to the Mark Stephen Dominik, including its address, specialty, and other relevant details, was last updated on 2007-07-08.