Provider Demographics
NPI:1942591706
Name:NAGPAL, SANJEEV K (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:SANJEEV
Middle Name:K
Last Name:NAGPAL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 E SUNSET DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3590
Mailing Address - Country:US
Mailing Address - Phone:360-671-5041
Mailing Address - Fax:360-676-1626
Practice Address - Street 1:1225 E SUNSET DR STE 110
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3590
Practice Address - Country:US
Practice Address - Phone:360-671-5041
Practice Address - Fax:360-676-1626
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00059352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist