Baljit S Brar, PHARM D

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Roseburg, OR

NPI 1548552144 · NPPES record last updated Feb 22, 2017

Key facts

NPI
1548552144
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH-0011040 (OR)
Practice address
3013 NW Stewart Pkwy
Roseburg, OR 97471-1612
Phone
(541) 957-9226
NPI assigned
May 15, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH00067644WAMDPharmacist
RPH-0011040ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0011040 OR
Pharmacist 183500000X PH00067644 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0011040 OR Yes

Addresses

Primary practice location

3013 NW Stewart Pkwy
Roseburg, OR 97471-1612

Mailing address

3013 NW Stewart Pkwy
Roseburg, OR 97471-1612
Phone (541) 957-9224

Other providers in Roseburg, OR

All providers in Roseburg, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.