Provider Demographics
NPI:1023398583
Name:SANDHU, GURPREET KAUR (RPH)
Entity Type:Individual
Prefix:
First Name:GURPREET
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29370 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2399
Mailing Address - Country:US
Mailing Address - Phone:734-261-2816
Mailing Address - Fax:734-261-3195
Practice Address - Street 1:29370 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2399
Practice Address - Country:US
Practice Address - Phone:734-261-2816
Practice Address - Fax:734-261-3195
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist