Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #127
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
845 E WILLOW ST, 1ST FLOOR, SIGNAL HILL, CA 90755-2736
(855) 209-8704
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821445727
—
CA
01
—
2160377
PK
—
01
—
5660128
NCPDP
CA
Enumeration date
05/20/2016
Last updated
07/05/2023
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