TIM DOMMERMUTH

ERIE, PA
NPI1548522410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP0317262)
Enumeration Date2012-06-15
Last Update Date2012-06-15
Business Address
-- TIM DOMMERMUTH R.Ph.
5515 PEACH ST
ERIE, PA 16509-2603
Phone number: 814-868-7733
Mailing Address
-- TIM DOMMERMUTH R.Ph.
4402 S COLONIAL PKWY
ERIE, PA 16509-4230
Phone number: 814-838-4968
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