Jie Giok Rahardja, PHARMD
NPI #1013296656 in Santa Rosa, California
Provider Information
- NPI Number
- 1013296656
- Entity Type
- Individual
- Name
- Jie Giok Rahardja, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 14, 2011
- Last Updated
- Aug 14, 2011
Practice Location
- Address
- 401 BICENTENNIAL WAY
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-2149
- Phone
- (707) 393-4652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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