Healthcare Provider Details

I. General information

NPI: 1417474487
Provider Name (Legal Business Name): PARMINDER KAUR SEKHON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17801 108TH AVE SE
RENTON WA
98055-6423
US

IV. Provider business mailing address

17801 108TH AVE SE
RENTON WA
98055-6423
US

V. Phone/Fax

Practice location:
  • Phone: 425-235-5383
  • Fax:
Mailing address:
  • Phone: 425-235-5383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60746168
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: