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Dominguez Pharmacy Lp
Community/Retail Pharmacy in Perris, California
NPI 1144302928

Dominguez Pharmacy Lp is a Community/Retail Pharmacy based in Upland, CA and is specialized in Community/Retail Pharmacy. Dominguez Pharmacy Lp practices in Perris, CA. The NPI Number for Dominguez Pharmacy Lp is 1144302928 and holds a License No. (California).

The current practice location address for Dominguez Pharmacy Lp is 2055 N Perris Blvd Ste A1, Perris, CA and can be reached out via phone at 951-943-8188 and via fax at 951-943-8199.

Location: 2055 N Perris Blvd Ste A1, Perris, CA, 91786-5525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144302928
Provider Name
Dominguez Pharmacy Lp
Credential
Provider Entity Type
Organization
Address
2055 N Perris Blvd Ste A1, Perris, CA, 91786-5525
Phone Number
951-943-8188
Fax Number
951-943-8199
Provider Enumeration Date
10/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144302928 05 CA
0503943 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2055 N Perris Blvd Ste A1
City
Perris
State
California
Zip
92571-2515
Phone Number
951-943-8188
Fax Number
951-943-8199
person
Provider Business Mailing Address Details
Address
2055 N Perris Blvd Ste A1
City
Perris
State
California
Zip
92571-2515
Phone Number
951-943-8188
Fax Number
951-943-8199
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHY43987 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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