Provider Demographics
NPI:1902189160
Name:BANGA, RUPINDER K (PHARM D)
Entity Type:Individual
Prefix:
First Name:RUPINDER
Middle Name:K
Last Name:BANGA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 COLUSA HWY
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9096
Mailing Address - Country:US
Mailing Address - Phone:530-671-5301
Mailing Address - Fax:
Practice Address - Street 1:1781 COLUSA HWY
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9096
Practice Address - Country:US
Practice Address - Phone:530-671-5301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist