Organization
KAWEAH DELTA HEALTH CARE DISTRICT
Active
Other names
Kaweah Health Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA TUPPER (SR. VP/CFO)
(559) 624-4065
Entity
Organization
Contact information
Practice address
202 W WILLOW AVE STE 102, VISALIA, CA 93291-6238
(559) 624-4880
(559) 635-6180
Mailing address
202 W WILLOW AVE, SUITE 102, VISALIA, CA 93291-6238
(559) 624-2739
(559) 635-6180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHE54259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159158
PK
—
Enumeration date
04/11/2016
Last updated
06/17/2021
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