Provider Profile

Mira Surjanto, PHARM.D.

Unclaimed Profile

About Dr. Surjanto

Mira Surjanto, PHARM.D. is a pharmacist practicing in Vallejo, CA. Mira trained at University Of California-S.F., graduating in 1999. This provider record is associated with NPI 1124110705.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Pharmacist (Primary)

Credentials & Licensing

CA · Registered PharmacistBoard Of Pharmacy
No. 51280ActiveExpires Apr 2027Since 1999
NPINational Provider Identifier
1124110705Issued 2006

Snapshot · verify with the board ↗

Common questions

What does Mira Surjanto specialize in?

Mira Surjanto is a pharmacist in Vallejo, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Mira Surjanto located?

Mira Surjanto is listed at 975 Sereno Dr Mob Medicine 7, Vallejo, CA 94589. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Mira Surjanto's phone number?

The number on file is (707) 651-2584. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Mira Surjanto?

Mira Surjanto's National Provider Identifier is 1124110705. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Mira Surjanto train?

Mira Surjanto attended University Of California-S.F., graduating in 1999. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Mira Surjanto have?

Mira Surjanto has 27 years experience. Calculated from a graduation year of 1999, reported in the CMS National Downloadable File.

CMS public data

Is Mira Surjanto's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mira Surjanto. If this is you, claiming it is free.

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