Widjaja, Rita

Widjaja, Rita is an sole proprietor health care provider with primary practice located at 21738 Us Highway 18 , Apple Valley CA 92307. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Widjaja, Rita can be contacted via phone (760) 247-1840.

Contact Information

Primary practice address
21738 Us Highway 18 Apple Valley CA 92307
Phone: (760) 247-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 60216 California

Profile Details

NPI number 1467734004
LBN Legal business name Widjaja, Rita
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2011
Last updated Sep 9th, 2011 - about 14 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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