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NPI Code Detail

MEDICARE: DAVID KANAK RPH

MEDICARE: DAVID KANAK RPH
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
1183500000XPharmacist32432CA

General Provider Information

NPI Number : 1689082190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID KANAK RPH
Provider Business Mailing Address
First Line : 2044 FOREST AVE
Second Line :
City : CHICO
State : CA
Zip : 95928-7619
Country : US
Telephone Number : 530-895-8650
Fax Number : 530-895-8057
Provider Business Practice Location Address
First Line : 2044 FOREST AVE
Second Line :
City : CHICO
State : CA
Zip : 95928-7619
Country : US
Telephone Number : 530-899-8650
Fax Number : 530-899-8507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ DAVID KANAK RPH” Practice Location

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