NPI | 1881742765 |
---|---|
Doing Business As | KAISER FDN HSP OUT HSP PHY 111 |
Entity Type | Organization |
Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA HSP21955) |
Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2021-05-05 |