Healthcare Provider Details

I. General information

NPI: 1457276727
Provider Name (Legal Business Name): HARKEERAT SINGH BADHESHA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 NE 4TH ST
RENTON WA
98059-5012
US

IV. Provider business mailing address

4016 RANCHO MESA CT
MODESTO CA
95356-8986
US

V. Phone/Fax

Practice location:
  • Phone: 425-207-1278
  • Fax:
Mailing address:
  • Phone: 209-614-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70133631
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: