Healthcare Provider Details

I. General information

NPI: 1114719572
Provider Name (Legal Business Name): HARPREET KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N PATRICK BLVD
BROOKFIELD WI
53045-5892
US

IV. Provider business mailing address

150 N PATRICK BLVD
BROOKFIELD WI
53045-5892
US

V. Phone/Fax

Practice location:
  • Phone: 262-395-4658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22653
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: