DOMINIC DEROSE JR.

Pharmacist

Active Individual
NPI: 1083698559

Practice Address

1080 W 300 N
Clearfield, UT 84015

Phone: (801) 773-7330

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes 140039-1701 (UT)

Frequently Asked Questions

NPI 1083698559 is the National Provider Identifier for DOMINIC DEROSE JR., a Pharmacist provider located in Clearfield, UT. This NPI was enumerated on November 30, 2005.
DOMINIC DEROSE JR. practices at 1080 W 300 N, Clearfield, UT 84015.

Quick Facts

NPI
1083698559
Type
Individual
Enumerated
Nov 30, 2005
Last Updated
Jul 8, 2007

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