Widjaja, Melinda Indrajani
Widjaja, Melinda Indrajani is an individual health care provider with primary practice located at 1550 Gateway Blvd , Fairfield CA 94533-6901. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Widjaja, Melinda Indrajani can be contacted via phone (707) 427-4524.Contact Information
Primary practice address
1550 Gateway Blvd
Fairfield CA 94533-6901
Phone: (707) 427-4524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH57142 | California |
Profile Details
| NPI number | 1487740528 |
|---|---|
| LBN Legal business name | Widjaja, Melinda Indrajani |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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