| 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 |