| NPI | 1124460191 |
|---|---|
| Other Name | KAISER PERMANENTE PHARMACY #264 |
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 51530) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2023-06-02 |