Kaiser Foundation Health Plan INC
Pharmacy, Community/Retail Pharmacy in Lancaster, CA. Organization (NPI-2).
NPI number1649689175
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1649689175
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan INC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2014
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY51974 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Kaiser Permanente Pharmacy #260 (Other Name)
Practice location
615 W Avenue LLancaster, CA 93534-7211
Phone 844-824-6474
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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