Provider Demographics
NPI:1134479660
Name:SANDHU, KARENDEEP KAUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARENDEEP
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 BUTTE HOUSE RD
Mailing Address - Street 2:T-0318
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3102
Mailing Address - Country:US
Mailing Address - Phone:530-383-2938
Mailing Address - Fax:
Practice Address - Street 1:1153 BUTTE HOUSE RD
Practice Address - Street 2:T-0318
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3102
Practice Address - Country:US
Practice Address - Phone:530-383-2938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist