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NPI Code Detail

MEDICARE: GENE TSUKAMOTO PHARM D

MEDICARE: GENE TSUKAMOTO PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist25984CA
2183500000XPharmacist5174NV

General Provider Information

NPI Number : 1164406385
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENE TSUKAMOTO PHARM D
Provider Business Mailing Address
First Line : 2020 E COPPER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93730-5402
Country : US
Telephone Number : 559-433-1290
Fax Number : 559-433-1296
Provider Business Practice Location Address
First Line : 2020 E COPPER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93730-5402
Country : US
Telephone Number : 559-433-1290
Fax Number : 559-433-1296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 04/10/2011

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Directions to “ GENE TSUKAMOTO PHARM D” Practice Location

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