Individual provider · Type 1 NPI

Rita Widjaja, RPH

Pharmacist · Apple Valley, CA

NPI number 1467734004 Active

Practice location

21738 US Highway 18
Apple Valley, CA 92307

Call (760) 247-1840 Map

Mailing address

15153 Via Maravilla
Chino Hills, CA 91709-5030

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X60216 (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 1467734004

Rita Widjaja, RPH's National Provider Identifier is 1467734004, issued on Sep 9, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Apple Valley, CA. The record was last updated on Sep 9, 2011.