| NPI | 1124176094 |
|---|---|
| Doing Business As | KAISER HEALTH PLAN NILES 3 PHY 164 |
| Entity Type | Organization |
| Authorized Contact | KATHRYN RENOUARD BROWN VP Pharmacy Operations And Services 510-625-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY39674) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-10-21 |