Provider Demographics
NPI:1750439816
Name:FUJIMOTO, ROUXANN TOMIKO (PHARMD)
Entity type:Individual
Prefix:MS
First Name:ROUXANN
Middle Name:TOMIKO
Last Name:FUJIMOTO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ROUXANN
Other - Middle Name:TOMIKO
Other - Last Name:KUWATA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6021 FAIRVIEW PL
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-1851
Mailing Address - Country:US
Mailing Address - Phone:805-374-7572
Mailing Address - Fax:805-374-7545
Practice Address - Street 1:365 E HILLCREST DR
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5820
Practice Address - Country:US
Practice Address - Phone:805-374-7572
Practice Address - Fax:805-374-7545
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist