Adrian Jonathan Ichwan, PHARMD
NPI #1619767092 in Diamond Bar, California
Provider Information
- NPI Number
- 1619767092
- Entity Type
- Individual
- Name
- Adrian Jonathan Ichwan, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- May 8, 2025
- Last Updated
- Jul 17, 2025
Practice Location
- Address
- 747 GRAND AVE
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-8400
- Phone
- (909) 610-2150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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