Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSIDY LOUISE DOMAGALLA
ActiveCASSIDY LOUISE DOMAGALLA is a Geriatric Pharmacist healthcare provider located in PEORIA, Illinois. NPI 1386222685 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · PEORIA, IL
Registration Details
- NPI Number
- 1386222685
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2021 (5.3901361716027 yrs)
- Last Updated
- Mar 30, 2021
- License
-
051.296273 (IL)
Practice Information
- Address
-
126 OAK STPEORIA, IL, 616021639Browse IL providers · Browse ZIP 61602
- Phone
- 3096907790
- Fax
- 8663854948
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
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.