Ida Osathanugrah is a Pharmacist based in Clovis, CA. Ida Osathanugrah practices in Clovis, CA. The NPI Number for Ida Osathanugrah is 1205558707 and holds a License No. 86494 (California).
The current practice location address for Ida Osathanugrah is 2010 Los Altos Ave, Clovis, CA and can be reached out via phone at 661-557-3800.
Location: 2010 Los Altos Ave, Clovis, CA, 93611-5309
Provider Profile Details
NPI Number
1205558707
Provider Name
Ida Osathanugrah
Credential
Provider Entity Type
Individual
Gender
Female
Address
2010 Los Altos Ave, Clovis, CA, 93611-5309
Phone Number
661-557-3800
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2010 Los Altos Ave
City
State
Zip
93611-5309
Phone Number
661-557-3800
Fax Number
Provider Business Mailing Address Details
Address
2010 Los Altos Ave
City
State
Zip
93611-5309
Phone Number
661-557-3800
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
86494 (California)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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