Provider Demographics
NPI:1568757813
Name:FUJITA, JUNKO M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUNKO
Middle Name:M
Last Name:FUJITA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20700 AVALON BLVD STE 750
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3724
Mailing Address - Country:US
Mailing Address - Phone:310-819-3012
Mailing Address - Fax:310-819-3012
Practice Address - Street 1:20700 AVALON BLVD STE 750
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3724
Practice Address - Country:US
Practice Address - Phone:310-819-3012
Practice Address - Fax:310-819-3012
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist