Provider Demographics
NPI:1376828871
Name:THAKRAR, SUNDEEP (RPH)
Entity Type:Individual
Prefix:
First Name:SUNDEEP
Middle Name:
Last Name:THAKRAR
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 1:9 EADY DOGWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-0000
Mailing Address - Country:US
Mailing Address - Phone:609-706-9247
Mailing Address - Fax:
Practice Address - Street 1:9 E DOGWOOD CT
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-9668
Practice Address - Country:US
Practice Address - Phone:609-706-9247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02571800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist