NPI | 1285782169 |
---|---|
Doing Business As | KAISER HEALTH PLAN PEDIATRIC PHY |
Entity Type | Organization |
Authorized Contact | RICHARD YEP Pharmacy Service Mgr 408-945-2642 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHY33297) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |