| NPI | 1609100957 |
|---|---|
| Doing Business As | KAISER PERMANENTE PUEBLO NORTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENESE CLARK Regional Administrator 303-326-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: CO 779) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-05-24 |