Healthcare Provider Details

I. General information

NPI: 1598435950
Provider Name (Legal Business Name): HARMANPREET KAUR VERMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6970 CRESTWOOD BLVD
FREDERICK MD
21703-7239
US

IV. Provider business mailing address

1809 COUNTRY RUN WAY
FREDERICK MD
21702-5907
US

V. Phone/Fax

Practice location:
  • Phone: 301-682-9158
  • Fax:
Mailing address:
  • Phone: 240-651-4569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28179
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: