Organization
KKN PHARMACY CORPORATION
Active
Other names
The Druggist
Organization subpart
No
Provider details
NPI number
Authorized official
NIHAR NIRANJAN MANDAVIA PHARMD (OWNER)
(949) 643-0740
Entity
Organization
Contact information
Practice address
27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3927
(949) 643-0740
(949) 643-2287
Mailing address
27881 LA PAZ RD STE E, LAGUNA NIGUEL, CA 92677-3927
(949) 643-0740
(949) 643-2287
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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