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Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Oncology Phrmcy #081
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA POLCHAK (VP PHARMACY OPERATIONS & SVCS, SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
9400 ROSECRANS AVE, RM 1W157 ONCOLOGY PHARMACY, BELLFLOWER, CA 90706-2246
(562) 461-6074
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
PHY50051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5641130
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/15/2009
Last updated
12/15/2022
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