| NPI | 1447639745 |
|---|---|
| Other Name | KAISER PERMANENTE PHARMACY #374C |
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY53420) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY53420) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |