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NPI Code Detail

MEDICARE: RAVJYOAT TAKHAR PHARM D

MEDICARE:   RAVJYOAT  TAKHAR  PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73040CA

General Provider Information

NPI Number : 1891264768
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVJYOAT TAKHAR PHARM D
Provider Business Mailing Address
First Line : 4448 SILVER IVY ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-2480
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 602 MAIN ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3405
Country : US
Telephone Number : 530-662-2813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 11/20/2018

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Directions to “ RAVJYOAT TAKHAR PHARM D” Practice Location

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