| NPI | 1407803513 |
|---|---|
| Doing Business As | KAISER PERMANENTE CENTRAL INTERSTATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFRED LYMAN Executive Director, Regional Pharma 800-813-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OR RP-0001284-CS) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA PHNR.FO.60658960) |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-06-01 |