| NPI | 1922281906 |
|---|---|
| Other Name | KAISER PERMANENTE PHY #193 |
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE POLCHAK VP Pharmacy Operations & Svcs, Scal 562-658-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY48828) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-06-12 |