Individual provider · Type 1 NPI

Sandra Hisako Matsuo Fukudome, PharmD

Pharmacist · Cerritos, CA

NPI number 1932556396 Active

Practice location

12900 Park Plaza Dr
Cerritos, CA 90703-9329

Mailing address

2035 Mcgarvey St
Fullerton, CA 92833-5094

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X43738 (CA)

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 1932556396

Sandra Hisako Matsuo Fukudome, PharmD's National Provider Identifier is 1932556396, issued on May 16, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cerritos, CA. The record was last updated on May 16, 2016.