Provider Demographics
NPI:1275648891
Name:SAUTMAN, SATPAL KAUR (PHARM D)
Entity Type:Individual
Prefix:
First Name:SATPAL
Middle Name:KAUR
Last Name:SAUTMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9394 NW 49TH PL
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5261
Mailing Address - Country:US
Mailing Address - Phone:954-816-4298
Mailing Address - Fax:954-742-4781
Practice Address - Street 1:1835 S PERIMETER RD STE 140
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-7101
Practice Address - Country:US
Practice Address - Phone:954-776-6299
Practice Address - Fax:954-776-0175
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0027774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist