Individual provider · Type 1 NPI

Tasi Nightingale Fomukong, PHARM D

Pharmacist · Los Banos, CA

NPI number 1578852802 Active

Practice location

1317 E Pacheco Blvd
Los Banos, CA 93635-4335

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	63335 (CA)
Pharmacist	183500000X	17616 (NV)

Pharmacist: 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…

4 other providers at this address

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About NPI 1578852802

Tasi Nightingale Fomukong, PHARM D's National Provider Identifier is 1578852802, issued on Apr 7, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Los Banos, CA. The record was last updated on Apr 7, 2011.