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Michelle Widjaja
Pharmacist in San Diego, California
NPI 1265921472

Michelle Widjaja is a Pharmacist based in San Diego, CA. Michelle Widjaja practices in San Diego, CA. The NPI Number for Michelle Widjaja is 1265921472 and holds a License No. 77111 (California).

The current practice location address for Michelle Widjaja is 575 Saturn Blvd, San Diego, CA and can be reached out via phone at 619-205-6147.

Location: 575 Saturn Blvd, San Diego, CA, 92108-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265921472
Provider Name
Michelle Widjaja
Credential
Provider Entity Type
Individual
Gender
Female
Address
575 Saturn Blvd, San Diego, CA, 92108-2600
Phone Number
619-205-6147
Fax Number
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
575 Saturn Blvd
City
San Diego
State
California
Zip
92154-4731
Phone Number
619-205-6147
Fax Number
person
Provider Business Mailing Address Details
Address
575 Saturn Blvd
City
San Diego
State
California
Zip
92154-4731
Phone Number
619-205-6147
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
77111 (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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