Provider Demographics
NPI:1407160203
Name:MHAJAN, RUBINDER KAUR (BSCPHARM (RPH))
Entity Type:Individual
Prefix:MRS
First Name:RUBINDER
Middle Name:KAUR
Last Name:MHAJAN
Suffix:
Gender:F
Credentials:BSCPHARM (RPH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 3RD AVE STE 105M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7252
Mailing Address - Country:US
Mailing Address - Phone:800-511-5144
Mailing Address - Fax:212-838-3605
Practice Address - Street 1:875 3RD AVE STE 105M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7252
Practice Address - Country:US
Practice Address - Phone:800-511-5144
Practice Address - Fax:212-838-3605
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist