Individual
DR. CHILLA WIERSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
751 S BASCOM AVE, INPATIENT PHARMACY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-2300
Mailing address
58 ATLAS AVE, SAN JOSE, CA 95126-3101
(954) 683-1833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69950
CA
183500000X
Pharmacist
PS 46520
FL
Other
Enumeration date
05/14/2013
Last updated
07/10/2014
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