| NPI | 1063569390 |
|---|---|
| Other Name | KAISER PERMANENTE PHARMACY NO 179 |
| 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 PHY43772) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-06-13 |