Individual
MR. ALFRED MICHAEL FAGUNDES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
475 M ST, CRESCENT CITY, CA 95531-4129
(707) 465-3663
(707) 464-8533
Mailing address
125 PINE VIEW CT, P.O. BOX 2123, CRESCENT CITY, CA 95531-9167
(707) 464-8449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2111
HI
183500000X
Pharmacist
Primary
24038
CA
183500000X
Pharmacist
9086
OR
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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