NPI | 1881090967 |
---|---|
Doing Business As | KAISER PERMANENTE PARKSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | DENESE CLARK Regional Administrator 303-326-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: CO 1680000076) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-11-17 |
Last Update Date | 2021-05-24 |