Individual provider · Type 1 NPI

Mamta Anjali Kissun, PharmD, RPH

Pharmacist · Lodi, CA

NPI number 1326655069 Active

Practice location

75 N Ham Ln
Lodi, CA 95242-2700

Call (209) 369-8575 Map

Mailing address

4717 Bartram Run Ct
Stockton, CA 95212-2757

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X82372 (CA)

Pharmacist: 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…

7 other providers at this address

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About NPI 1326655069

Mamta Anjali Kissun, PharmD, RPH's National Provider Identifier is 1326655069, issued on Sep 27, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lodi, CA. The record was last updated on Sep 27, 2020.