Eva Susi Mulyawati in San Diego - Pharmacist
Eva Susi Mulyawati - NPI 1285755751
Eva Susi Mulyawati is a Pharmacist in San Diego, California. Eva Susi Mulyawati practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Eva Susi Mulyawati is 1285755751. The last update date is 2007-07-08.
Eva Susi Mulyawati's current location address is 4127 Mandarin Terrace, San Diego, California. You can contact this provider via phone number 6196591085 and fax number 6196595738. The mailing address for Eva Susi Mulyawati is 4127 Mandarin Terrace, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eva Susi Mulyawati |
|---|---|
| Address | 4127 Mandarin Terrace, San Diego, California |
| Phone Number | 6196591085 |
| Fax Number | 6196595738 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1285755751 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4127 Mandarin Terrace |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921156054 |
| Phone Number | 6196591085 |
| Fax Number | 6196595738 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH 58064 |
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Definition: 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 m |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eva Susi Mulyawati by the Centers for Medicare & Medicaid Services?
The Eva Susi Mulyawati has been issued the NPI (National Provider Identifier) 1285755751, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eva Susi Mulyawati's facilities are geographically located?
The facilities of Eva Susi Mulyawati are physically situated at the following location: 4127 Mandarin Terrace, San Diego, CA, 921156054.
What is the area of specialization for Eva Susi Mulyawati, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eva Susi Mulyawati is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285755751 to Eva Susi Mulyawati?
The Centers for Medicare & Medicaid Services originally issued the 1285755751 to Eva Susi Mulyawati on 2007-04-03.
As of what date was the information pertaining to Eva Susi Mulyawati, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eva Susi Mulyawati, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.