| Dr Gajan Tristan Mathivanan, PHARMD | |
|
230 S Main St, Angels Camp, CA 95222-9359 | |
| (209) 736-4623 | |
| Not Available |
| Full Name | Dr Gajan Tristan Mathivanan |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 230 S Main St, Angels Camp, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609485044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 82486 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gajan Tristan Mathivanan, PHARMD 0756 Williow Springs Dr, Soulsbyville, CA 95372 Ph: (314) 604-0368 | Dr Gajan Tristan Mathivanan, PHARMD 230 S Main St, Angels Camp, CA 95222-9359 Ph: (209) 736-4623 |
Warda Nawaz, PHARMD, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Angels Camp, CA 95222 Phone: 209-736-4623 | |
Dean Stanley Westphalen, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Angels Camp, CA 95222 Phone: 209-736-4623 Fax: 209-736-9406 | |
Mechele Inez Roessler, VACCINATING TECH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Angels Camp, CA 95222 Phone: 209-736-4623 Fax: 209-736-9406 | |
Natalie Tibio, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Angels Camp, CA 95222 Phone: 209-736-4623 | |
Nancy Thai, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Angels Camp, CA 95222 Phone: 209-736-4623 | |
Mr. Michael Allen Zarcone, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 41 North Main St, Angels Camp, CA 95222 Phone: 209-736-1840 Fax: 209-736-1877 |