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Organization

KAISER FOUNDATION HOSPITALS

Active
Other names
KAISER PERMANENTE PHARMACY 985
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
9521 DALEN ST RM R, DOWNEY, CA 90242-4847
(562) 401-4209
Mailing address
9521 DALEN ST RM R, DOWNEY, CA 90242-4847
(562) 401-4209

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
993
HI
3336M0002X
Mail Order Pharmacy
Primary
41612
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2159942
PK
Enumeration date
05/04/2016
Last updated
01/17/2024
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