| NPI | 1891246377 |
|---|---|
| Doing Business As | KAISER PERMANENTE PHARMACY #100 |
| Entity Type | Organization |
| Authorized Contact | DAVID KVANCZ VP Nat'l Phrmcy Prog & Svcs 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA PHY55268) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-24 |