# KKN PHARMACY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Druggist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699505701
- **Authorized official:** NIHAR NIRANJAN MANDAVIA PHARMD (OWNER)
- **Authorized official phone:** (949) 643-0740

## Contact information

- **Practice address:** 27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3927
- **Practice address phone:** (949) 643-0740
- **Practice address fax:** (949) 643-2287
- **Mailing address:** 27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3927
- **Mailing address phone:** (949) 643-0740
- **Mailing address fax:** (949) 643-2287

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024