MEDICARE: RAJPAL KALSI

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	5302030525	MI

General Provider Information

NPI Number	:	1346618600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJPAL KALSI

Provider Business Mailing Address
First Line	:	2070 S CEDAR ST
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9606
Country	:	US
Telephone Number	:	810-724-7692
Fax Number	:	810-724-6064

Provider Business Practice Location Address
First Line	:	2070 S CEDAR ST
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9606
Country	:	US
Telephone Number	:	810-724-7692
Fax Number	:	810-724-6064

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

Provider Enumeration Date	:	09/03/2015
Last Update Date	:	09/03/2015

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Directions to “ RAJPAL KALSI ” Practice Location

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