# KAWEAH DELTA HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaweah Health South Campus Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609038751
- **Authorized official:** MALINDA TUPPER (SRVP CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (559) 624-4065

## Contact information

- **Practice address:** 1633 S COURT ST, VISALIA, CA 93277-4945
- **Practice address phone:** (559) 624-2000
- **Mailing address:** 400 W MINERAL KING AVE, VISALIA, CA 93291-6237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HPE46596 | CA | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PHB342090 | — | CA |