Provider Demographics
NPI:1871262584
Name:AUJLA, HARINDER
Entity Type:Individual
Prefix:
First Name:HARINDER
Middle Name:
Last Name:AUJLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2682 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-8672
Mailing Address - Country:US
Mailing Address - Phone:559-718-6996
Mailing Address - Fax:
Practice Address - Street 1:2682 KIMBERLY DR
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-8672
Practice Address - Country:US
Practice Address - Phone:559-718-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist