Individual provider · Type 1 NPI

Jie Giok Rahardja, PharmD

Pharmacist · Santa Rosa, CA

NPI number 1013296656 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Call (707) 393-4652 Map

Mailing address

121 Verde Ct
Petaluma, CA 94954-1545

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X62966 (CA)

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 1013296656

Jie Giok Rahardja, PharmD's National Provider Identifier is 1013296656, issued on Aug 14, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 14, 2011.