Healthcare Provider Details

I. General information

NPI: 1447947163
Provider Name (Legal Business Name): HARMANDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 04/21/2023
Certification Date: 04/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WHITE LN
BAKERSFIELD CA
93309-7688
US

IV. Provider business mailing address

10105 TITANIUM ST
BAKERSFIELD CA
93311-9534
US

V. Phone/Fax

Practice location:
  • Phone: 661-837-2198
  • Fax:
Mailing address:
  • Phone: 661-497-6638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number84709
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: