Provider Demographics
NPI:1467178376
Name:DHILLON, MEHAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEHAR
Middle Name:
Last Name:DHILLON
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 1:511 S 5TH ST APT 1217
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2399
Mailing Address - Country:US
Mailing Address - Phone:469-223-5708
Mailing Address - Fax:
Practice Address - Street 1:4174 WESTPORT RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2735
Practice Address - Country:US
Practice Address - Phone:502-992-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist