Individual provider · Type 1 NPI

Gajan Tristan Mathivanan, PharmD

Pharmacist · Angels Camp, CA

NPI number 1609485044 Active

Practice location

230 S Main St
Angels Camp, CA 95222-9359

Call (209) 736-4623 Map

Mailing address

0756 Williow Springs Dr
Soulsbyville, CA 95372

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	82486 (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…

5 other providers at this address

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About NPI 1609485044

Gajan Tristan Mathivanan, PharmD's National Provider Identifier is 1609485044, issued on Jul 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Angels Camp, CA. The record was last updated on Jul 30, 2020.