Provider Demographics
NPI:1558573204
Name:JAMMU, RAJWINDER (RPH)
Entity Type:Individual
Prefix:
First Name:RAJWINDER
Middle Name:
Last Name:JAMMU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 SE 260TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7049
Mailing Address - Country:US
Mailing Address - Phone:253-856-1974
Mailing Address - Fax:
Practice Address - Street 1:17051 SE 272ND ST
Practice Address - Street 2:24
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4943
Practice Address - Country:US
Practice Address - Phone:253-630-9818
Practice Address - Fax:253-639-0453
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00056813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist