| NPI | 1427106228 |
|---|---|
| Doing Business As | KAISER HEALTH PLAN C PHY 712 |
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Natl Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37229) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-12-22 |