Provider Demographics
NPI:1962937474
Name:KANDHOLA, EVELYN KAUR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:KAUR
Last Name:KANDHOLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EVELYN
Other - Middle Name:KAUR
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:19454 BELLETERRE DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-6904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1035 PLACER ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1170
Practice Address - Country:US
Practice Address - Phone:530-646-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-23
Last Update Date:2022-03-29
Deactivation Date:2018-05-10
Deactivation Code:
Reactivation Date:2022-02-17
Provider Licenses
StateLicense IDTaxonomies
CA84693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist