| 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 |