Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Permanente Pharmacy #355
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
411 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(866) 353-5029
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0528197
NCPDP
CA
05
—
1467500348
—
CA
01
—
2027419
PK
—
Enumeration date
01/08/2007
Last updated
07/05/2023
Update your record
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