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NPI Code Detail

MEDICARE: DOMONIQUE SIMONE ARRINGTON RPH

MEDICARE: DOMONIQUE SIMONE ARRINGTON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist033816GA

General Provider Information

NPI Number : 1194447268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMONIQUE SIMONE ARRINGTON RPH
Provider Business Mailing Address
First Line : 1035 LOWER FAYETTEVILLE RD
Second Line :
City : NEWNAN
State : GA
Zip : 30265-1132
Country : US
Telephone Number : 678-423-8891
Fax Number :
Provider Business Practice Location Address
First Line : 1035 LOWER FAYETTEVILLE RD
Second Line :
City : NEWNAN
State : GA
Zip : 30265-1132
Country : US
Telephone Number : 678-423-8891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 09/15/2022

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Directions to “ DOMONIQUE SIMONE ARRINGTON RPH” Practice Location

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