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DOMINIQUE ENRIQUEZ

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1396499927

Individual Registrant:
 DOMINIQUE  ENRIQUEZ 
Gender: F
Sole Proprietor

Location and contact information for practice:
800 PALM AVE  IMPERIAL BEACH, CA 91932-1529 US
Tel: 619-424-8989  Fax: --

Contact information for business:
1888 COBBLECREEK ST  CHULA VISTA, CA 91913-3917 US
Tel: --  Fax: --

Registration Information:
NPI: 1396499927
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA85553

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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