Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominic Derose Jr.

Individual provider Pharmacist · NPI 1083698559

Dominic Derose Jr. is a Pharmacist in Clearfield, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
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Practice location Address checks out

1080 W 300 N
Clearfield, UT 84015-8732
Phone: (801) 773-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 140039-1701 (UT)

Record details

NPI number1083698559
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJuly 13, 2026

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