Individual
RAVEENA KAUR BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5122
Mailing address
1925 W RIVER RD APT 9304, TUCSON, AZ 85704-1744
(559) 244-3993
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1024619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024619
ARIZONA STATE BOARD OF PHARMACY
AZ
01
—
39465
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
06/23/2020
Last updated
06/23/2020
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