Provider Demographics
NPI:1750629762
Name:KAUR, JASMINE (PHARMD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:KAUR
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 1:330 FORT LEE RD
Mailing Address - Street 2:A3
Mailing Address - City:LEONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07605-1823
Mailing Address - Country:US
Mailing Address - Phone:201-575-3036
Mailing Address - Fax:
Practice Address - Street 1:330 FORT LEE RD
Practice Address - Street 2:A3
Practice Address - City:LEONIA
Practice Address - State:NJ
Practice Address - Zip Code:07605-1823
Practice Address - Country:US
Practice Address - Phone:201-575-3036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03525700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist