Organization
KAISER PERMANENTE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENIA ELLIS PHARMD (PHARMACY SUPERVISOR)
(909) 367-7080
Entity
Organization
Contact information
Practice address
1183 E FOOTHILL BLVD, FIRST FLOOR, UPLAND, CA 91786-4079
(909) 367-7080
(909) 367-7076
Mailing address
1183 E FOOTHILL BLVD, FIRST FLOOR, UPLAND, CA 91786-4079
(909) 367-7080
(909) 367-7076
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36910
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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