Organization
KAWEAH DELTA EMPLOYEE PHARMACY
Active
Other names
Kaweah Health Employee Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GATES RPH (OUTPATIENT PHARMACY MANAGER)
(559) 624-2920
Entity
Organization
Contact information
Practice address
602 W WILLOW AVE, STE B, VISALIA, CA 93291-6102
(559) 624-2920
(559) 635-4142
Mailing address
602 W WILLOW AVE, STE B, VISALIA, CA 93291-6102
(559) 624-2920
(559) 635-4142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHE47013
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113420
PK
—
Enumeration date
02/26/2007
Last updated
03/07/2023
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