| NPI | 1114079191 |
|---|---|
| Doing Business As | KAISER FDN HSP INP OUT PHY |
| Entity Type | Organization |
| Authorized Contact | LANCE MIGAKI Ip Pharmacy Supervisor 408-236-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CA HSP12037) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-04-22 |