NPI | 1205420247 |
---|---|
Doing Business As | KAISER PERMANENTE BOWIE FAIRWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT K RICKETTS Chief Financial Officer 301-741-2874 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
Enumeration Date | 2021-02-20 |
Last Update Date | 2021-05-26 |