Provider Demographics
NPI:1457078230
Name:DULAI DHILLON, GURPREET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GURPREET
Middle Name:
Last Name:DULAI DHILLON
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 1:4074 MORLEY DR
Mailing Address - Street 2:
Mailing Address - City:REMINDERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8165
Mailing Address - Country:US
Mailing Address - Phone:414-899-4649
Mailing Address - Fax:
Practice Address - Street 1:1443 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44124-2449
Practice Address - Country:US
Practice Address - Phone:216-389-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist