Provider Demographics
NPI:1316359995
Name:GREWAL, SUKHJIT (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:SUKHJIT
Middle Name:
Last Name:GREWAL
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 1:3518 MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5302
Mailing Address - Country:US
Mailing Address - Phone:916-972-7198
Mailing Address - Fax:916-972-7199
Practice Address - Street 1:3518 MARCONI AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5302
Practice Address - Country:US
Practice Address - Phone:916-972-7198
Practice Address - Fax:916-972-7199
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist