NPI | 1417343120 |
---|---|
Doing Business As | KAISER PERMANENTE GLENLAKE CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | DIANE SANDERS Pharmacy Compliance Manager 770-712-5654 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: GA PHCL000028) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-04-09 |
Last Update Date | 2021-08-04 |