NPI | 1023323151 |
---|---|
Doing Business As | KAISER PERMANENTE PHARMACY #611 |
Entity Type | Organization |
Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50328) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-08-12 |
Last Update Date | 2023-06-21 |