NPI | 1104060383 |
---|---|
Doing Business As | KAISER PERMANENTE PHARMACY #103 |
Entity Type | Organization |
Authorized Contact | DAVID KVANCZ Nat'l VP Phrmcy Prog & Svcs 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49884) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-05-01 |
Last Update Date | 2011-01-25 |