Provider Demographics
NPI:1144887662
Name:BAINS, PARMJIT
Entity type:Individual
Prefix:DR
First Name:PARMJIT
Middle Name:
Last Name:BAINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 CLARK AVE STE P
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5363
Mailing Address - Country:US
Mailing Address - Phone:530-760-8333
Mailing Address - Fax:530-923-7937
Practice Address - Street 1:229 CLARK AVE STE P
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5363
Practice Address - Country:US
Practice Address - Phone:530-760-8333
Practice Address - Fax:530-923-7937
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist