Provider Demographics
NPI:1043816192
Name:KAUR, AMARJIT (RPH)
Entity Type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:AMARJIT
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:4801 NEW BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6629
Mailing Address - Country:US
Mailing Address - Phone:407-894-5263
Mailing Address - Fax:407-894-5634
Practice Address - Street 1:4801 NEW BROAD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6629
Practice Address - Country:US
Practice Address - Phone:407-894-5263
Practice Address - Fax:407-894-5634
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist