Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #189
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
9961 SIERRA AVE, HOSPITAL SUPPORT BLDG FL 1, FONTANA, CA 92335-6720
(855) 434-2155
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS DEPARTMENT, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487996195
—
CA
01
—
5646926
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/20/2013
Last updated
06/02/2023
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