Individual provider · Type 1 NPI

Mario Listiawan, PharmD

Pharmacist · Rancho Cordova, CA

NPI number 1295006609 Active

Practice location

10811 International Dr
Rancho Cordova, CA 95670-7368

Call (916) 503-1910 Map

Mailing address

3019 S 8th Ave
Arcadia, CA 91006-5718

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65574 (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…

6 other providers at this address

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About NPI 1295006609

Mario Listiawan, PharmD's National Provider Identifier is 1295006609, issued on Jan 16, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rancho Cordova, CA. The record was last updated on Jan 16, 2012.