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NPI Code Detail

MEDICARE: GURNIT KAUR PHARMACIST

MEDICARE: GURNIT KAUR PHARMACIST
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH61509830WA

General Provider Information

NPI Number : 1912708082
Entity Type Code : Individual
Provider Name (Legal Business Name) : GURNIT KAUR PHARMACIST
Provider Business Mailing Address
First Line : 22889 SE ELM ST
Second Line :
City : BLACK DIAMOND
State : WA
Zip : 98010-6701
Country : US
Telephone Number : 509-703-0765
Fax Number :
Provider Business Practice Location Address
First Line : 20901 STATE ROUTE 410 E
Second Line :
City : BONNEY LAKE
State : WA
Zip : 98391-6377
Country : US
Telephone Number : 253-891-7333
Fax Number : 253-891-7327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 06/05/2026

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1487819918 — REBEKAH ELIZABETH HAGEN DPT
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Directions to “ GURNIT KAUR PHARMACIST” Practice Location

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