Provider Demographics
NPI:1851030670
Name:KALMAN, SHANY
Entity Type:Individual
Prefix:
First Name:SHANY
Middle Name:
Last Name:KALMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:859 TAMPICO
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2930
Mailing Address - Country:US
Mailing Address - Phone:925-278-0024
Mailing Address - Fax:
Practice Address - Street 1:570 MUNRAS AVE UNIT 10
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3014
Practice Address - Country:US
Practice Address - Phone:831-333-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85812183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA85812OtherCA BOARD OF PHARMACY