Teresita Fugoso

NPI #1104241645 in Imperial, California

Provider Information

NPI Number: 1104241645
Entity Type: Individual
Name: Teresita Fugoso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 20, 2014
Last Updated: Feb 20, 2014

Practice Location

Address: 2302 BROWN RD
Address 2: CENTINELA STATE PRISON PHARMACY
City: Imperial
State: California
ZIP Code: 92251
Phone: (760) 337-7624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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