NPI | 1659429496 |
---|---|
Doing Business As | KAISER PERMANENTE PHARMACY #376 |
Entity Type | Organization |
Authorized Contact | RHONDA LEE POLCHAK VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY37644) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2024-03-04 |