NPI | 1871972372 |
---|---|
Other Name | KAISER PERMANENTE PHARMACY #363C |
Entity Type | Organization |
Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY53353) |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY53353) |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-05-29 |