Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MIRA SURJANTO, PHARM.D.
ActiveDR. MIRA SURJANTO, PHARM.D. is a Pharmacist healthcare provider located in VALLEJO, California. NPI 1124110705 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · VALLEJO, CA
Registration Details
- NPI Number
- 1124110705
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2006 (19.727723837708 yrs)
- Last Updated
- Jul 8, 2007
- License
-
51280 (CA)
Practice Information
- Address
-
975 SERENO DRMOB MEDICINE 7VALLEJO, CA, 945892441Browse CA providers · Browse ZIP 94589
- Phone
- 7076512584
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in VALLEJO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH GARCIA | PHARM.D. | 1215937529 |
| CHARLES A WALKER | PHARM D | 1659335693 |
| THU J HUYNH | RPH | 1275641946 |
| MS. GRACE H LE | PHARM.D | 1033201678 |
| DR. PARYA SABERI | PHARM.D. | 1679668990 |
| MRS. TINA LIANG | PHARM.D. | 1801982483 |
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.