Organization
KALPANA PATEL B PHARM INC
Active
Other names
SAN DIMAS PHARMACY AND COMPOUNDING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KALPANA PATEL (OWNER)
(661) 319-6939
Entity
Organization
Contact information
Practice address
3805 SAN DIMAS ST, STE A, BAKERSFIELD, CA 93301-5724
(661) 325-7979
(661) 325-8181
Mailing address
3805 SAN DIMAS ST, STE A, BAKERSFIELD, CA 93301-5724
(661) 325-7979
(661) 325-8181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
48922
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5629069
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2008
Last updated
10/18/2010
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