Provider Demographics
NPI:1396352902
Name:SIDHU, RAJJIT SINGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RAJJIT
Middle Name:SINGH
Last Name:SIDHU
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 1:399 OTTAWA ST S
Mailing Address - Street 2:
Mailing Address - City:KITCHENER
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N2M3P3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14880 NE 24TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5593
Practice Address - Country:US
Practice Address - Phone:206-200-7499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61014822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist