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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TASI NIGHTINGALE FOMUKONG, PHARM D

Active

DR. TASI NIGHTINGALE FOMUKONG, PHARM D is a Pharmacist healthcare provider located in LOS BANOS, California. NPI 1578852802 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LOS BANOS, CA

Registration Details

NPI Number
1578852802
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2011 (15.346396176193 yrs)
Last Updated
Apr 7, 2011
Licenses
63335 (CA)
17616 (NV)

Practice Information

Address
1317 E PACHECO BLVD
LOS BANOS, CA, 936354335
Browse CA providers · Browse ZIP 93635
Phone
2098263036
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in LOS BANOS, CA

Name Credential NPI
DR. RHONDA L CARDENAS PHARMD 1407141518
MICHAEL PASTORI RPH 1609161587
DR. ANABEL DELACRUZ MARTINEZ PHARM.D 1902180185
DR. RAJWANT KAUR DOSANJH PHARM.D 1306113139
DEVANGI DEVAL PATEL 1629345384
MISS MODUPE OLUWATOYIN OSO 1649537259
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.