Individual
ABYNA KALLADANTHYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
40044 HIGHWAY 49, OAKHURST, CA 93644-8875
(559) 642-4227
Mailing address
8680 N GLENN AVE APT 113, FRESNO, CA 93711-6937
(813) 466-2671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78210
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
05/13/2019
Last updated
05/13/2019
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