Organization
CSU DOMINGUEZ HILLS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE FUGAMI (PHARMACIST)
(310) 243-3194
Entity
Organization
Contact information
Practice address
1000 E VICTORIA ST, CARSON, CA 90747-0001
(310) 243-3194
(310) 243-6990
Mailing address
1000 E VICTORIA ST, CARSON, CA 90747-0001
(310) 243-3194
(310) 243-6990
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
CA
Other
Enumeration date
03/09/2007
Last updated
07/10/2008
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