| NPI | 1043658586 |
|---|---|
| Doing Business As | KAISER PERMANENTE PHARMACY #612 |
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY51479) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-06-21 |