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Nicholas Albert Tedjakesuma, PHARMD
Pharmacist in Norwalk, California
NPI 1952922742

Nicholas Albert Tedjakesuma is a Pharmacist based in Huntington Park, CA. Nicholas Albert Tedjakesuma practices in Norwalk, CA and has the professional credentials of PHARMD. The NPI Number for Nicholas Albert Tedjakesuma is 1952922742 and holds a License No. 82043 (California).

The current practice location address for Nicholas Albert Tedjakesuma is 11930 Studebaker Rd, Norwalk, CA and can be reached out via phone at 562-864-8138.

Location: 11930 Studebaker Rd, Norwalk, CA, 90255-2923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952922742
Provider Name
Nicholas Albert Tedjakesuma
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
11930 Studebaker Rd, Norwalk, CA, 90255-2923
Phone Number
562-864-8138
Fax Number
Provider Enumeration Date
05/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11930 Studebaker Rd
City
Norwalk
State
California
Zip
90650-7548
Phone Number
562-864-8138
Fax Number
person
Provider Business Mailing Address Details
Address
11930 Studebaker Rd
City
Norwalk
State
California
Zip
90650-7548
Phone Number
562-864-8138
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
82043 (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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