Individual provider · Type 1 NPI

Aida Wijaya

Pharmacist · Portland, OR

NPI number 1003114935 Active

Practice location

8330 N Ivanhoe St
Portland, OR 97203-4824

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0010283 (OR)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003114935

Aida Wijaya's National Provider Identifier is 1003114935, issued on Mar 1, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Mar 1, 2011.