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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER PERMANENTE PHARMACY 985
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LEE POLCHAK (VP PHARMACY OPERATIONS & SVCS, SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
9521 DALEN ST RM R, DOWNEY, CA 90242-4847
(562) 401-4209
Mailing address
9521 DALEN ST RM R, DOWNEY, CA 90242-4847
(562) 401-4209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
993
HI
3336M0002X
Mail Order Pharmacy
Primary
41612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159942
PK
—
Enumeration date
05/04/2016
Last updated
01/17/2024
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