| Dominic Derose Jr, | |
|
1080 W 300 N, Clearfield, UT 84015-8732 | |
| (801) 773-7330 | |
| Not Available |
| Full Name | Dominic Derose Jr |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1080 W 300 N, Clearfield, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083698559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 140039-1701 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Derose Jr, 1509 West Stayner Drive, Farmington, UT 84025 Ph: (801) 451-5708 | Dominic Derose Jr, 1080 W 300 N, Clearfield, UT 84015-8732 Ph: (801) 773-7330 |
Mr. Roger B Fitzpatrick, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 580 S State St, Clearfield, UT 84015 Phone: 801-773-8703 Fax: 801-773-9628 | |
Aaron Cope, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 580 S State St, Clearfield, UT 84015 Phone: 801-773-8703 |