Dr. Ilene Dominguez, Pharm.D.
Pharmacist in West Covina, CA. Individual provider (NPI-1).
NPI number1780100990
StatusActive
Last updated in NPPESAug 18, 2017
Details
- NPI
- 1780100990
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ilene Dominguez
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2017
- Last updated
- Aug 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 75618 | CA | Yes |
Practice location
1115 S Sunset AveWest Covina, CA 91790-3940
Phone 626-962-4011
Mailing address
301 S Glendora Ave Unit 2526West Covina, CA 91790-5936
Phone 858-603-3317
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