Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIE GIOK RAHARDJA, PHARMD
Active Sole ProprietorJIE GIOK RAHARDJA, PHARMD is a Pharmacist healthcare provider located in SANTA ROSA, California. NPI 1013296656 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1013296656
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2011 (15.009070939567 yrs)
- Last Updated
- Aug 14, 2011
- License
-
62966 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 BICENTENNIAL WAYSANTA ROSA, CA, 954032149Browse CA providers · Browse ZIP 95403
- Phone
- 7073934652
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. STANLEY A GREEN | R. PH. | 1528067030 |
| LAURA ANN WONG | PHARM.D | 1801819362 |
| DR. DESIREE LYNN FOX | PHARM.D. | 1275545154 |
| MS. KATHY M WONG | PHARM.D. | 1598871949 |
| SABAHAT LATIF IMRAN | MPHARM. | 1770677783 |
| DR. SAMUEL SANGMIN LEE | PHARM.D. | 1427144294 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.