Provider Demographics
NPI:1881354538
Name:MULTANI, SURINDER (PHARMACIST)
Entity type:Individual
Prefix:
First Name:SURINDER
Middle Name:
Last Name:MULTANI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 TECOPA AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-7816
Mailing Address - Country:US
Mailing Address - Phone:559-737-0948
Mailing Address - Fax:
Practice Address - Street 1:820 N LEMOORE AVE
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2333
Practice Address - Country:US
Practice Address - Phone:559-925-6027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist