Provider Demographics
NPI:1326568213
Name:SANGHERA, HARDEEP SINGH (RPH)
Entity Type:Individual
Prefix:
First Name:HARDEEP
Middle Name:SINGH
Last Name:SANGHERA
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 1:4160 DOVER ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9076
Mailing Address - Country:US
Mailing Address - Phone:360-224-7779
Mailing Address - Fax:
Practice Address - Street 1:315 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5431
Practice Address - Country:US
Practice Address - Phone:360-424-0467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60711617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist