Dr. Mira Surjanto
Pharmacist
975 Sereno Dr, Mob Medicine 7, Vallejo
California, 94589-2441
707-651-2584 Dr. Mira Surjanto is a pharmacist in Vallejo, California. Patients can reach her at 975 Sereno Dr, Mob Medicine 7, Vallejo or contact her on 707-651-2584. Active license number of Dr. Mira Surjanto is 51280 for Pharmacist in California.
Dr. Mira Surjanto is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Dr. Mira Surjanto speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Mira Surjanto |
| Specialization: | Pharmacist |
| Credentials: | PHARM.D. |
| Gender: | Female |
| Location: | 975 Sereno Dr, Mob Medicine 7, Vallejo,
California, 94589-2441 |
| Phone: | 707-651-2584 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Mira Surjanto are as mentioned below.
| NPI Number: | 1124110705 |
| NPI Enumeration Date: | 29 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mira Surjanto are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 51280 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 975 Sereno Dr, Mob Medicine 7
Vallejo, California |
| Zip: | 94589-2441 |
| Phone Number: | -- |
Patients can reach Dr. Mira Surjanto at
975 Sereno Dr, Mob Medicine 7, Vallejo, California or can
call on phone at 707-651-2584.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.