Provider Demographics
NPI:1912579913
Name:SINGH, RAJINDRA KUAR (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:RAJINDRA
Middle Name:KUAR
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4733
Mailing Address - Country:US
Mailing Address - Phone:714-773-9615
Mailing Address - Fax:714-773-9619
Practice Address - Street 1:1035 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4733
Practice Address - Country:US
Practice Address - Phone:714-773-9615
Practice Address - Fax:714-773-9619
Is Sole Proprietor?:No
Enumeration Date:2021-07-11
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57356183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA7474284OtherCALIFORNIA
CA1597852Other1597852