Provider Demographics
NPI:1194911602
Name:DALE, PERMINDER SINGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PERMINDER
Middle Name:SINGH
Last Name:DALE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 HIGHWAY 65 STE 180
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95692-9002
Mailing Address - Country:US
Mailing Address - Phone:916-521-9201
Mailing Address - Fax:530-290-6788
Practice Address - Street 1:1912 HIGHWAY 65 STE 180
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:CA
Practice Address - Zip Code:95692-9002
Practice Address - Country:US
Practice Address - Phone:916-521-9201
Practice Address - Fax:530-290-6788
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509341835C0207X, 183500000X
CA106211835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile PreparationsGroup - Single Specialty
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist