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Dr. Mario Listiawan, PHARMD
Pharmacist in Rancho Cordova, California
NPI 1295006609

Mario Listiawan is a Pharmacist based in Arcadia, CA. Mario Listiawan practices in Rancho Cordova, CA and has the professional credentials of PHARMD. The NPI Number for Mario Listiawan is 1295006609 and holds a License No. 65574 (California).

The current practice location address for Mario Listiawan is 10811 International Dr, Rancho Cordova, CA and can be reached out via phone at 916-503-1910.

Location: 10811 International Dr, Rancho Cordova, CA, 91006-5718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295006609
Provider Name
Mario Listiawan
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
10811 International Dr, Rancho Cordova, CA, 91006-5718
Phone Number
916-503-1910
Fax Number
Provider Enumeration Date
01/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10811 International Dr
City
Rancho Cordova
State
California
Zip
95670-7368
Phone Number
916-503-1910
Fax Number
person
Provider Business Mailing Address Details
Address
10811 International Dr
City
Rancho Cordova
State
California
Zip
95670-7368
Phone Number
916-503-1910
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
65574 (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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