Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #271C
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
26877 TOURNEY RD, MOB 2 FL 2 RM #226, SANTA CLARITA, CA 91355-1846
(661) 290-7200
Mailing address
12254 BELLFLOWER BLVD FL 2, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY56017
CA
3336C0004X
Compounding Pharmacy
Primary
PHY56017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5665445
NCPDP
CA
Enumeration date
01/18/2018
Last updated
06/12/2023
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