Provider Demographics
NPI:1124597927
Name:DHILLON, JASKIRN KAUR (RPH)
Entity Type:Individual
Prefix:DR
First Name:JASKIRN
Middle Name:KAUR
Last Name:DHILLON
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:PO BOX 806
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-0806
Mailing Address - Country:US
Mailing Address - Phone:707-580-4580
Mailing Address - Fax:
Practice Address - Street 1:350 WALTERS RD
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-3043
Practice Address - Country:US
Practice Address - Phone:707-580-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist