Provider Demographics
NPI:1891021291
Name:SANDHU, SARABJIT SINGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SARABJIT
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10988 W LARCH RD
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-1507
Mailing Address - Country:US
Mailing Address - Phone:209-483-3377
Mailing Address - Fax:
Practice Address - Street 1:10988 W LARCH RD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95304-1507
Practice Address - Country:US
Practice Address - Phone:209-483-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA612971835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist