MISS Fifi Widajat, RPH

NPI #1073594917 in Gahanna, Ohio

Provider Information

NPI Number: 1073594917
Entity Type: Individual
Name: MISS Fifi Widajat, RPH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 8, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1365 STONERIDGE DR
Address 2: KROGER PHARMACY N-871
City: Gahanna
State: Ohio
ZIP Code: 43230-8701
Phone: (614) 418-1529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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