Provider Demographics
NPI:1649557224
Name:PANJABI, HIRO L (MS PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:HIRO
Middle Name:L
Last Name:PANJABI
Suffix:
Gender:M
Credentials:MS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 S BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7302
Mailing Address - Country:US
Mailing Address - Phone:714-540-0393
Mailing Address - Fax:714-540-1442
Practice Address - Street 1:3650 S BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7302
Practice Address - Country:US
Practice Address - Phone:714-540-0393
Practice Address - Fax:714-540-1442
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist