Domenico Giustino Valid NPI
Individual provider · Pharmacist · Coal City, IL
- NPI
- 1912500125
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051-040229 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
Practice location
245 S Broadway St
Coal City, IL 60416-1534
(815) 634-0599