Provider Demographics
NPI:1114256559
Name:AHLUWALIA, AMARJIT SINGH (RPH)
Entity Type:Individual
Prefix:
First Name:AMARJIT
Middle Name:SINGH
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 S WATT AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-4463
Mailing Address - Country:US
Mailing Address - Phone:916-366-1377
Mailing Address - Fax:916-366-7861
Practice Address - Street 1:9133 KIEFER BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-5105
Practice Address - Country:US
Practice Address - Phone:916-366-1377
Practice Address - Fax:916-366-7861
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH45019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist