Scott Domer, RPh
Pharmacist in Canton, OH. Individual provider (NPI-1).
NPI number1639831746
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1639831746
- Entity type
- Individual (NPI-1)
- Name
- Scott Domer
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03-21274 | OH | Yes |
Practice location
608 Raff Rd SwCanton, OH 44710-1556
Phone 330-452-5905
Mailing address
608 Raff Rd SwCanton, OH 44710-1556
Phone 330-452-5905
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