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Mamta Anjali Kissun, PHARMD,RPH
Pharmacist in Lodi, California
NPI 1326655069

Mamta Anjali Kissun is a Pharmacist based in Stockton, CA. Mamta Anjali Kissun practices in Lodi, CA and has the professional credentials of PHARMD,RPH. The NPI Number for Mamta Anjali Kissun is 1326655069 and holds a License No. 82372 (California).

The current practice location address for Mamta Anjali Kissun is 75 N Ham Ln, Lodi, CA and can be reached out via phone at 209-369-8575.

Location: 75 N Ham Ln, Lodi, CA, 95212-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326655069
Provider Name
Mamta Anjali Kissun
Credential
PHARMD,RPH
Provider Entity Type
Individual
Gender
Female
Address
75 N Ham Ln, Lodi, CA, 95212-2757
Phone Number
209-369-8575
Fax Number
Provider Enumeration Date
09/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Ham Ln
City
Lodi
State
California
Zip
95242-2700
Phone Number
209-369-8575
Fax Number
person
Provider Business Mailing Address Details
Address
75 N Ham Ln
City
Lodi
State
California
Zip
95242-2700
Phone Number
209-369-8575
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
82372 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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