Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #752
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
1302 ROCKY POINT DR, FLOOR 1, OCEANSIDE, CA 92056-5864
(844) 424-1871
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194148171
—
CA
01
—
2144155
PK
—
01
—
5650444
NCPDP
CA
Enumeration date
01/28/2014
Last updated
06/21/2023
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