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Contact Information

RITA WIDJAJA, RPH
21738 US HIGHWAY 18
APPLE VALLEY, CA92307
 Phone: 760-247-1840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for RITA WIDJAJA · (Female)

NPI # 1467734004
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 09/09/2011
Last updated 09/09/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 60216
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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