Kaiser Foundation Health Plan INC
Pharmacy, Community/Retail Pharmacy in Colton, CA. Organization (NPI-2).
NPI number1164570818
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1164570818
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY30875 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Kaiser Permanente Pharmacy #163 (Other Name)
Practice location
789 South Cooley DriveColton, CA 92324
Phone 866-342-2805
Mailing address
12254 Bellflower Blvd Fl 2Pharmacy Operations
Downey, CA 90242-2804
Authorized official
Rhonda Lee Polchak
Vp Pharmacy Operations & Svcs, Scal
5626583510
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