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NPI Code Detail

MEDICARE: KULBIR SINGH GREWAL

MEDICARE: KULBIR SINGH GREWAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS027083AZ

General Provider Information

NPI Number : 1184454118
Entity Type Code : Individual
Provider Name (Legal Business Name) : KULBIR SINGH GREWAL
Provider Business Mailing Address
First Line : 11137 W BRITTLEWOOD DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1188
Country : US
Telephone Number : 623-698-1957
Fax Number :
Provider Business Practice Location Address
First Line : 8245 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85033-4722
Country : US
Telephone Number : 623-849-1940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2024
Last Update Date : 08/05/2024

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Directions to “ KULBIR SINGH GREWAL ” Practice Location

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