Provider Demographics
NPI:1053608745
Name:DOMINGUEZ, ARTURO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:DOMINGUEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 N OXNARD BLVD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2065
Mailing Address - Country:US
Mailing Address - Phone:805-485-1991
Mailing Address - Fax:805-485-1994
Practice Address - Street 1:2355 N OXNARD BLVD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2065
Practice Address - Country:US
Practice Address - Phone:805-485-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist