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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA OSATHANUGRAH

Active

IDA OSATHANUGRAH is a Pharmacist healthcare provider located in CLOVIS, California. NPI 1205558707 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CLOVIS, CA

Registration Details

NPI Number
1205558707
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2022 (3.9178992171458 yrs)
Last Updated
Sep 13, 2022
License
86494 (CA)

Practice Information

Address
2010 LOS ALTOS AVE
CLOVIS, CA, 936115309
Browse CA providers · Browse ZIP 93611
Phone
6615573800
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CLOVIS, CA

Name Credential NPI
MRS. CHRISTY JOAN FERRERIA PHARM D 1699758359
SOPHON PENNI NOU-CHEN 1023079779
LINDA K MATSUNAGA PHARMD 1104888395
VIOLET S CHU RPH 1568498384
DR. RUSSELL MARION BLAYLOCK PHARMD 1477584704
DR. JEFFERY MICHAEL WORLEY PHARM.D. 1215011432
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.