Organization
KKN PHARMACY CORPORATION
Active
Other names
The Druggist
Organization subpart
No
Provider details
NPI number
Authorized official
NIHAR MANDAVIA PHARMD (PRESIDENT)
(949) 643-0740
Entity
Organization
Contact information
Practice address
27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3933
(949) 643-0740
(949) 643-2287
Mailing address
27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3933
(949) 643-0740
(949) 643-2287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51753
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144868
PK
—
Enumeration date
07/08/2006
Last updated
08/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us