Timothy Widjaja
Pharmacist
4067 Peralta Blvd, Fremont
California, 94536-4849
510-793-5096 Timothy Widjaja is a pharmacist in Fremont, California. Patients can reach him at 4067 Peralta Blvd, Fremont or contact him on 510-793-5096. Active license number of Timothy Widjaja is 90387 for Pharmacist in California.
Timothy Widjaja 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:
Timothy Widjaja speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Timothy Widjaja |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Male |
| Location: | 4067 Peralta Blvd, Fremont,
California, 94536-4849 |
| Phone: | 510-793-5096 |
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 Timothy Widjaja are as mentioned below.
| NPI Number: | 1659196848 |
| NPI Enumeration Date: | 21 Nov, 2024 |
| NPI Last Update On: | 21 Nov, 2024 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy Widjaja are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 90387 | 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: | 4067 Peralta Blvd,
Fremont, California |
| Zip: | 94536-4849 |
| Phone Number: | 510-793-5096 |
Patients can reach Timothy Widjaja at
4067 Peralta Blvd, Fremont, California or can
call on phone at 510-793-5096.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.