| NPI | 1245567783 |
|---|---|
| Doing Business As | KAISER PERMANENTE SOUTHWOOD INFUSION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANE SANDERS Pharmacy Compliance Manager 770-712-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy (Licence: GA PHCL000019) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2021-08-04 |