| NPI | 1083762967 |
|---|---|
| Doing Business As | KAISER HEALTH PLAN FABIOLA 4 PHY 117 |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PERRY FLOWERS VP Acute Transitional Care 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY39672) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-06-01 |