Provider Demographics
NPI:1184246613
Name:HANDA, PAHULPREET (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAHULPREET
Middle Name:
Last Name:HANDA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MIFFLEN CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4518
Mailing Address - Country:US
Mailing Address - Phone:916-303-6822
Mailing Address - Fax:
Practice Address - Street 1:692 FREEMAN LN
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-9616
Practice Address - Country:US
Practice Address - Phone:530-272-1958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH81946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist