| NPI | 1528002474 |
|---|---|
| Other Name | KAISER SUNNYSIDE OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIM DUNSCOMB Supervisor 503-571-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR 00650) |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: OR 00650) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-06-01 |