NPI | 1356499149 |
---|---|
Doing Business As | KAISER HEALTH PLAN MB PHY 113 |
Entity Type | Organization |
Authorized Contact | ALBERT CARVER VP Phrmcy Strategy Operations 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY33939) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-05-20 |