| Csu Dominguez Hills Pharmacy | |
|
1000 E Victoria St Carson CA 90747-0001 | |
| (310) 243-3194 | |
| (310) 243-6990 |
| Full Name | Csu Dominguez Hills Pharmacy |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1000 E Victoria St, Carson, California |
| Authorized Official Name and Position | Clyde Fugami (PHARMACIST) |
| Authorized Official Contact | 3102433194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csu Dominguez Hills Pharmacy 1000 E Victoria St Carson CA 90747-0001 Ph: (310) 243-3194 | Csu Dominguez Hills Pharmacy 1000 E Victoria St Carson CA 90747-0001 Ph: (310) 243-3194 |
| NPI Number | 1457483083 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457483083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (California) | Primary |
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