Organization
KERN INFUSION SERVICES INC
Active
Other names
Panama Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL GILL PHARM.D. (PRESIDENT/OWNER/PIC)
(661) 664-8864
Entity
Organization
Contact information
Practice address
4004 PANAMA LN, STE 100, BAKERSFIELD, CA 93313-3769
(661) 664-8864
(661) 831-1343
Mailing address
4004 PANAMA LN, STE 100, BAKERSFIELD, CA 93313-3769
(661) 664-8864
(661) 831-1343
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457538381
—
CA
01
—
5629691
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/22/2008
Last updated
08/17/2011
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