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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIC DEROSE JR.

Active

DOMINIC DEROSE JR. is a Pharmacist healthcare provider located in CLEARFIELD, Utah. NPI 1083698559 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CLEARFIELD, UT

Registration Details

NPI Number
1083698559
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2005 (20.684902883084 yrs)
Last Updated
Jul 8, 2007
License
140039-1701 (UT)

Practice Information

Address
1080 W 300 N
CLEARFIELD, UT, 840158732
Browse UT providers · Browse ZIP 84015
Phone
8017737330
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CLEARFIELD, UT

Name Credential NPI
MR. ROGER B FITZPATRICK RPH 1548391329
AARON COPE PHARMD 1578158002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.