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Organization

KAISER FOUNDATION HOSPITALS

Active
Other names
Kaiser Foundation Hospital
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
25825 S VERMONT HOSPITAL BLDG, HARBOR CITY, CA 90710
(301) 517-2239
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
3336I0012X
Institutional Pharmacy
Primary
HSP20880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0563886
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/08/2007
Last updated
05/31/2023
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