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1467734004
RITA WIDJAJA
APPLE VALLEY, CA
NPI
1467734004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 60216)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- RITA WIDJAJA Rph
21738 US HIGHWAY 18
APPLE VALLEY, CA 92307
Phone number: 760-247-1840
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Mailing Address
-- RITA WIDJAJA Rph
15153 VIA MARAVILLA
CHINO HILLS, CA 91709-5030
Phone number: 310-266-3586
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