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Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Zion Oncology Pharmacy #202C
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN KIYOHARA (VP PHARMACY OPERATIONS & SVCS, SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
4647 ZION AVE FL4, RM 4825, SAN DIEGO, CA 92120-2507
(877) 236-0333
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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