Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mamta Anjali Kissun, PHARMD, RPH

Individual provider Pharmacist · NPI 1326655069

Mamta Anjali Kissun, PHARMD, RPH is a Pharmacist in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

75 N Ham Ln
Lodi, CA 95242-2700
Phone: (209) 369-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 82372 (CA)

Record details

NPI number1326655069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , RPH
Sole proprietorYes
NPI enumeratedSeptember 27, 2020
Last updated in NPPESSeptember 27, 2020
Certification dateSeptember 27, 2020

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