| NPI | 1629223250 |
|---|---|
| Doing Business As | KAISER PERMANENTE FREDERICKSBURG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEANNE G PETERSEN Chief Financial Officer 301-816-5780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: VA 0201004261) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2021-05-27 |