MEDICARE: HARLEEN KAUR

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
1	183500000X	Pharmacist	S025267	AZ

General Provider Information

NPI Number	:	1326717034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARLEEN KAUR

Provider Business Mailing Address
First Line	:	12712 W DENTON AVE
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3015
Country	:	US
Telephone Number	:	623-285-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	12712 W DENTON AVE
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-3015
Country	:	US
Telephone Number	:	623-285-3737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2021
Last Update Date	:	09/08/2021

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Directions to “ HARLEEN KAUR ” Practice Location

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