Provider Demographics
NPI:1780306191
Name:SINGH, GURTEJ (PHARMD)
Entity type:Individual
Prefix:
First Name:GURTEJ
Middle Name:
Last Name:SINGH
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 1:1485 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-5242
Mailing Address - Country:US
Mailing Address - Phone:530-415-7686
Mailing Address - Fax:
Practice Address - Street 1:1485 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-5242
Practice Address - Country:US
Practice Address - Phone:530-415-7686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist