| NPI | 1477600799 |
|---|---|
| Other Name | KAISER PERMANENTE PHARMACY #117 |
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37220) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-06-13 |