| NPI | 1669520441 |
|---|---|
| Doing Business As | KAISER FDN HSP NEW & REFILL PHY 141 |
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA HSP18647) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-05-05 |