NPI | 1790832020 |
---|---|
Other Name | KAISER PERMANENTE PHARMACY #171 |
Entity Type | Organization |
Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46811) | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2023-06-13 |