Provider Demographics
NPI:1881341899
Name:SINGH, TASVIR K (PHARMD, BCPS)
Entity type:Individual
Prefix:
First Name:TASVIR
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-2563
Mailing Address - Country:US
Mailing Address - Phone:916-879-6565
Mailing Address - Fax:
Practice Address - Street 1:10470 OLD PLACERVILLE RD
Practice Address - Street 2:
Practice Address - City:PINE GROVE
Practice Address - State:CA
Practice Address - Zip Code:95665
Practice Address - Country:US
Practice Address - Phone:888-833-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist