Teresita Fugoso Valid NPI
Individual provider · Pharmacist · Imperial, CA
- NPI
- 1104241645
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-02-20
- Last updated
- 2014-02-20
Practice location
2302 Brown Rd, Centinela State Prison Pharmacy
Imperial, CA 92251
(760) 337-7624