| Doctor Name: | DINESH R GAJJALA |
| NPI Number: | 1275868499 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 60292085 |
| Business Practice Address: | 903 Engh Rd Omak, WA - 988419627 |
| Business Phone Number: | 5094221500 |
| Business Fax Number: | 5094221514 |
| Mailing Address: | 903 Engh Road, OMAK |
| State: | WA |
| Postal Code: | 98841 |
| Phone Number: | 5094221500 |
| Fax Number: | 5094221514 |
| NPI Enumeration Date: | 10/06/2009 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0003X |
| License Number: | 60292085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Community/Retail Pharmacy |
| Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |