Kanwaljit Kaur

Individual provider Active NPI Pharmacist · Harrison Township, MI

NPI 1750780433 · NPPES record last updated Aug 18, 2014

Key facts

NPI
1750780433
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302036893 (MI)
Practice address
28350 S River Rd
Harrison Township, MI 48045-3011
Phone
(586) 463-8661
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5302036893MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past Accepting new patients
Rite Aid of Michigan Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036893 MI Yes

Addresses

Primary practice location

28350 S River Rd
Harrison Township, MI 48045-3011

Mailing address

4238 Dickson Dr
Sterling HTS, MI 48310-4540
Phone (586) 873-5579

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.