Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #305C
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
6041 CADILLAC AVE, RM 4644, LOS ANGELES, CA 90034-1702
(323) 857-4123
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY55589
CA
3336C0004X
Compounding Pharmacy
Primary
PHY55589
CA
Other
Enumeration date
06/01/2016
Last updated
07/05/2023
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