Provider Demographics
NPI:1306544531
Name:SANDHU, JASMEEN KAUR (PHARMD)
Entity type:Individual
Prefix:
First Name:JASMEEN
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3057 STONINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4261
Mailing Address - Country:US
Mailing Address - Phone:916-239-9829
Mailing Address - Fax:
Practice Address - Street 1:2005 TOWN CENTER PLZ
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-4957
Practice Address - Country:US
Practice Address - Phone:916-384-0978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87068183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist