Provider Demographics
NPI:1407284623
Name:AHLUWALIA, PREET KAUR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PREET
Middle Name:KAUR
Last Name:AHLUWALIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11505 103RD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1909
Mailing Address - Country:US
Mailing Address - Phone:718-320-2904
Mailing Address - Fax:718-379-9565
Practice Address - Street 1:2136 BARTOW AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4615
Practice Address - Country:US
Practice Address - Phone:718-320-2904
Practice Address - Fax:718-379-9565
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057129I183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist