NPI | 1265034573 |
---|---|
Doing Business As | KAISER PERMANENTE PREMIER PHARMACY |
Entity Type | Organization |
Authorized Contact | GUADALUPE FLORES Sr Provider Enrollment Coord 303-338-3382 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
Enumeration Date | 2020-11-11 |
Last Update Date | 2021-05-23 |