# GKN RX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GKN Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588113088
- **Authorized official:** CHANDRA KADIYALA (CEO)
- **Authorized official phone:** (509) 392-1958

## Contact information

- **Practice address:** 7072 N CEDAR AVE, FRESNO, CA 93720-3300
- **Practice address phone:** (559) 321-8608
- **Practice address fax:** (559) 472-3103
- **Mailing address:** 7072 N CEDAR AVE, FRESNO, CA 93720-3300
- **Mailing address phone:** (559) 321-8608
- **Mailing address fax:** (559) 472-3103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY54458 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2016
- **Last updated:** 04/18/2024
