Provider Demographics
NPI:1619392792
Name:NIJJAR, DAVINDERJIT SINGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVINDERJIT
Middle Name:SINGH
Last Name:NIJJAR
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 1:1150 HARTER RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2642
Mailing Address - Country:US
Mailing Address - Phone:530-751-2701
Mailing Address - Fax:530-751-2608
Practice Address - Street 1:1150 HARTER RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2642
Practice Address - Country:US
Practice Address - Phone:530-751-2701
Practice Address - Fax:530-751-2608
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist