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Dr. Tasi Nightingale Fomukong, PHARMD
Pharmacist in Los Banos, California
NPI 1578852802

Tasi Nightingale Fomukong is a Pharmacist based in Los Banos, CA. Tasi Nightingale Fomukong practices in Los Banos, CA and has the professional credentials of PHARMD. The NPI Number for Tasi Nightingale Fomukong is 1578852802 and holds a License No. 63335 (California).

The current practice location address for Tasi Nightingale Fomukong is 1317 E Pacheco Blvd, Los Banos, CA and can be reached out via phone at 209-826-3036.

Location: 1317 E Pacheco Blvd, Los Banos, CA, 93635-4335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578852802
Provider Name
Tasi Nightingale Fomukong
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1317 E Pacheco Blvd, Los Banos, CA, 93635-4335
Phone Number
209-826-3036
Fax Number
Provider Enumeration Date
04/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1317 E Pacheco Blvd
City
Los Banos
State
California
Zip
93635-4335
Phone Number
209-826-3036
Fax Number
person
Provider Business Mailing Address Details
Address
1317 E Pacheco Blvd
City
Los Banos
State
California
Zip
93635-4335
Phone Number
209-826-3036
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
63335 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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