# GKN RX

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

## Provider details

- **NPI number:** 1659813251
- **Authorized official:** CHANDRA KADIYALA (CEO)
- **Authorized official phone:** (509) 392-1958

## Contact information

- **Practice address:** 1471 B ST STE R, LIVINGSTON, CA 95334-1426
- **Practice address phone:** (209) 398-2035
- **Practice address fax:** (209) 398-2037
- **Mailing address:** 1471 B ST, SUITE R, LIVINGSTON, CA 95334-1432
- **Mailing address phone:** (209) 398-2035
- **Mailing address fax:** (209) 398-2037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 51566 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2016
- **Last updated:** 04/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114351467 | — | CA |
| 01 | — | 2166230 | PK | — |