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Organization

KAISER FOUNDATION HEALTH PLAN INC

Active
Other names
Kaiser Permanente Pharmacy #271
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 1ST FL, SANTA CLARITA, CA 91355-1846
(661) 290-7100
Mailing address
12254 BELLFLOWER BLVD FL 2, DOWNEY, CA 90242-2804

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY55972
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY55972
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922516020
CA
01
5665370
NCPDP
CA
Enumeration date
01/11/2018
Last updated
01/07/2025
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