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Endah Susilowaty, PHARMACYTECHNICIAN
Pharmacy Technician in San Anselmo, California
NPI 1164624474

Endah Susilowaty is a Pharmacy Technician based in San Francisco, CA. Endah Susilowaty practices in San Anselmo, CA and has the professional credentials of PHARMACYTECHNICIAN. The NPI Number for Endah Susilowaty is 1164624474 and holds a License No. TCH 69355 (California).

The current practice location address for Endah Susilowaty is 121 Tunstead Ave, San Anselmo, CA and can be reached out via phone at 415-454-1451 and via fax at 415-454-2865.

Location: 121 Tunstead Ave, San Anselmo, CA, 94102-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164624474
Provider Name
Endah Susilowaty
Credential
PHARMACYTECHNICIAN
Provider Entity Type
Individual
Gender
Female
Address
121 Tunstead Ave, San Anselmo, CA, 94102-1674
Phone Number
415-454-1451
Fax Number
415-454-2865
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 Tunstead Ave
City
San Anselmo
State
California
Zip
94960-2616
Phone Number
415-454-1451
Fax Number
415-454-2865
person
Provider Business Mailing Address Details
Address
121 Tunstead Ave
City
San Anselmo
State
California
Zip
94960-2616
Phone Number
415-454-1451
Fax Number
415-454-2865
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
TCH 69355 (California)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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