Rahardja, Jie Giok

Rahardja, Jie Giok is an sole proprietor health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rahardja, Jie Giok can be contacted via phone (707) 393-4652.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 393-4652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 62966 California

Profile Details

NPI number 1013296656
LBN Legal business name Rahardja, Jie Giok
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2011
Last updated Aug 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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