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NPI 1659247195

NPI 1659247195 : GKN PHARMACY INC : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1659247195
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    Entity Type          |    Organization 
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    Legal Business Name  |    GKN PHARMACY INC 
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Dates
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    Enumeration Date     |    10/13/2025
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    7462 N FRESNO ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-2404
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    Country              |    US
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    Telephone            |    559-753-8180
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    Fax                  |    559-775-5111
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Provider Business Mailing Address
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    Address Line         |    7462 N FRESNO ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-2404
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    Country              |    US
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    Telephone            |    559-753-8180
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    Fax                  |    559-775-5111
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHANDRA SEKHAR  PANCHUMARTHI 
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    Credential           |    PHARMD
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    Telephone            |    559-321-8608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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