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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Found Hospital Pharmacy #054
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
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-9005
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
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP49923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121871
PK
—
01
—
5635719
NCPDP
CA
Enumeration date
06/16/2009
Last updated
05/31/2023
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