NPI | 1770723645 |
---|---|
Doing Business As | KAISER PERMANENTE PHARMACY #102 |
Entity Type | Organization |
Authorized Contact | KATHRYN RENOUARD BROWN VP Pharmacy Operations And Services 510-625-2363 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 49853) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-03-04 |
Last Update Date | 2020-10-20 |