Organization
GKN RX
Active
Other names
GKN RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA KADIYALA (DIRECTOR)
(209) 929-1093
Entity
Organization
Contact information
Practice address
1471 B ST, SUITE:R, LIVINGSTON, CA 95334-1432
(209) 398-2035
(209) 398-2037
Mailing address
1471 B ST STE R, LIVINGSTON, CA 95334-1426
(209) 398-2035
(209) 398-2037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
PHY51566
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114351467
—
CA
01
—
2141790
PK
—
Enumeration date
08/22/2013
Last updated
04/25/2025
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