Provider Demographics
NPI:1407223084
Name:GREWAL, HARVINDER SINGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARVINDER
Middle Name:SINGH
Last Name:GREWAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 KENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3451
Mailing Address - Country:US
Mailing Address - Phone:805-444-9036
Mailing Address - Fax:
Practice Address - Street 1:1291 S VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-1292
Practice Address - Country:US
Practice Address - Phone:805-984-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-30
Last Update Date:2015-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist