MEDICARE: KRISHNA PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY44460	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023043544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISHNA PHARMACY INC.

Provider Business Mailing Address
First Line	:	1285 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	714-491-7472
Fax Number	:	714-491-8673

Provider Business Practice Location Address
First Line	:	1285 N EUCLID ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1954
Country	:	US
Telephone Number	:	714-491-7472
Fax Number	:	714-491-8673

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BHUPESH D PATEL
Credential	:	RPH
Telephone Number	:	714-491-7472

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/07/2022

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Directions to “KRISHNA PHARMACY INC. ” Practice Location

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