Widjaja, Tjoen-Tan

Widjaja, Tjoen-Tan is an individual health care provider with primary practice located at 1355 Macarthur Blvd , San Leandro CA 94577-3918. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Widjaja, Tjoen-Tan can be contacted via phone (510) 351-3677.

Contact Information

Primary practice address
1355 Macarthur Blvd San Leandro CA 94577-3918
Phone: (510) 351-3677
Fax: (510) 352-7102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH50584 California

Profile Details

NPI number 1073725537
LBN Legal business name Widjaja, Tjoen-Tan
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jun 29th, 2008 - about 16 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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