| NPI | 1376691253 |
|---|---|
| Doing Business As | KAISER HEALTH PLAN MAIN PHY 551 |
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY32380) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-11 |