| NPI | 1134528631 |
|---|---|
| Other Name | KAISER PERMANENTE PHARMACY #260C |
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 652-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY52054) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2023-06-12 |