Individual
AUDREY FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PACIFIC COAST HWY, LOMITA, CA 90717-2604
(310) 517-9535
Mailing address
1303 SEPULVEDA BLVD, TORRANCE, CA 90501-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79232
CA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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