NPI | 1841679065 |
---|---|
Doing Business As | KAISER PERMANENTE PHARMACY #869 |
Entity Type | Organization |
Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53431) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-05-20 |
Last Update Date | 2023-06-22 |