Provider Demographics
NPI:1346734464
Name:KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Entity Type:Organization
Organization Name:KOULWARD HEALTH LLC POPULATION HEALTH PHARMACY
Other - Org Name:POPULATION HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:144-382-3278
Mailing Address - Street 1:9 ABERDEEN SHOPPING PLZ
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 ABERDEEN SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2247
Practice Address - Country:US
Practice Address - Phone:443-303-3836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW05163336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy