Individual provider · Type 1 NPI

Clementine F. Fomba

Pharmacist · Tuba City, AZ

NPI number 1689446239 Active

Practice location

167 North Main Street
Tuba City, AZ 86045

Mailing address

PO Box 600
Tuba City, AZ 86045-0600

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19686 (MD)

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…

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About NPI 1689446239

Clementine F. Fomba's National Provider Identifier is 1689446239, issued on Oct 26, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tuba City, AZ. The record was last updated on Oct 26, 2023.