Organization
ANIL G INDULKAR PHARMACIST APC
Active
Organization
ANIL G INDULKAR PHARMACIST APC
Active
Other names
AVALON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT KAKAR (OWNER)
(760) 365-7621
Entity
Organization
Contact information
Practice address
58471 29 PALMS HWY, STE 301, YUCCA VALLEY, CA 92284-5818
(760) 365-7621
(760) 365-7622
Mailing address
58471 29 PALMS HWY, STE 301, YUCCA VALLEY, CA 92284-5818
(760) 365-7621
(760) 365-7622
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005338
PK
—
Enumeration date
02/06/2007
Last updated
06/23/2016
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