Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Other names
Kaweah Health South Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA TUPPER (SRVP CHIEF FINANCIAL OFFICER)
(559) 624-4065
Entity
Organization
Contact information
Practice address
1633 S COURT ST, VISALIA, CA 93277-4945
(559) 624-2000
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HPE46596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB342090
—
CA
Enumeration date
06/30/2008
Last updated
06/18/2021
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