Melinda Indrajani Widjaja in Fairfield - Pharmacist
Melinda Indrajani Widjaja - NPI 1487740528
Melinda Indrajani Widjaja is a Pharmacist in Fairfield, California. Melinda Indrajani Widjaja practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Melinda Indrajani Widjaja is 1487740528. The last update date is 2007-07-08.
Melinda Indrajani Widjaja's current location address is 1550 Gateway Blvd, Fairfield, California. You can contact this provider via phone number 7074274524. The mailing address for Melinda Indrajani Widjaja is 1550 Gateway Blvd, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Melinda Indrajani Widjaja |
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Address | 1550 Gateway Blvd, Fairfield, California |
Phone Number | 7074274524 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARM D |
NPI Number Detail
NPI Number | 1487740528 |
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Provider Enumeration Date | 2006-10-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1550 Gateway Blvd |
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City | Fairfield |
State | California (CA) |
Post Code | 945336901 |
Phone Number | 7074274524 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | RPH57142 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Melinda Indrajani Widjaja by the Centers for Medicare & Medicaid Services (CMS)?
The Melinda Indrajani Widjaja has been assigned the NPI (National Provider Identifier) 1487740528. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Melinda Indrajani Widjaja?
The Melinda Indrajani Widjaja is physically situated at 1550 Gateway Blvd, in the city of Fairfield, state of CA, with the postal code 945336901.
What is Melinda Indrajani Widjaja's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Melinda Indrajani Widjaja is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date did the Melinda Indrajani Widjaja receive the assignment of its 1487740528 from the Centers for Medicare & Medicaid Services?
The Melinda Indrajani Widjaja was issued its 1487740528 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details pertaining to Melinda Indrajani Widjaja last refreshed?
The information related to the Melinda Indrajani Widjaja, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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