Provider Demographics
NPI:1225320161
Name:DOMBI, MERCEDES EVA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:EVA
Last Name:DOMBI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1825 MARION STREET
Mailing Address - Street 2:COMPREHENSIVE CANCER CENTER PHARMACY
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:303-318-1313
Mailing Address - Fax:303-318-3496
Practice Address - Street 1:1825 MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1122
Practice Address - Country:US
Practice Address - Phone:303-318-1313
Practice Address - Fax:303-318-3496
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO168101835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology