Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #551C
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
1011 BALDWIN PARK BLVD, FL-1, RM #1122, BALDWIN PARK, CA 91706-5806
(626) 851-6143
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY53441
CA
3336C0004X
Compounding Pharmacy
Primary
PHY53441
CA
Other
Enumeration date
07/23/2015
Last updated
06/21/2023
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