| NPI | 1790997773 |
|---|---|
| Former Legal Business Name | KAISER FOUNDATION HEALTH PLAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MELANIE B ROLSEN Mgr, Pharm Business 216-778-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: OH 020033850) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OH 02033850) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-05-07 |