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Organization
GKN RX
Active
Organization
GKN RX
Active
Other names
GKN RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA KADIYALA (CEO)
(509) 392-1958
Entity
Organization
Contact information
Practice address
1471 B ST STE R, LIVINGSTON, CA 95334-1426
(209) 398-2035
(209) 398-2037
Mailing address
1471 B ST, SUITE R, LIVINGSTON, CA 95334-1432
(209) 398-2035
(209) 398-2037
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
51566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114351467
—
CA
01
—
2166230
PK
—
Enumeration date
11/14/2016
Last updated
04/18/2024
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